Inspection on 21/02/06 for The Beaches

This inspection was carried out on 21st February 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 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 16/08/05

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 The Beaches 13 Jefferstone Lane St Marys Bay Romney Marsh Kent TN29 0SW Lead Inspector Geoff Senior Announced Inspection 21st February 2006 10:00a The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 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 The Beaches DS0000062099.V274549.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 Adults 18-65. 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. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Beaches Address 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) The Beaches 13 Jefferstone Lane St Marys Bay Romney Marsh Kent TN29 0SW 01303 873787 Mrs Eileen Mary Campbell Mr Stephen Antony Campbell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 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. There is a craft room in the enclosed garden that 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 DS0000062099.V274549.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 21/2/06. The inspector met and spent time with the proprietor Mrs Campbell, a member of staff and two of the service users at home during the course of the visit. Mrs Campbell has several years experience working with people with a learning disability in a residential setting. She indicated an awareness of the NM Standards and expressed a commitment to compliance with the standards within a reasonable timescale. The inspector observed, throughout the visit, the staff’s attention to the service users’, their patient, friendly and respectful manner and consideration of each service user as an individual. A range of documentation was viewed and an accompanied tour of the premises undertaken. The findings of the visit and any requirements or recommendations are contained within the body of the report. 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 DS0000062099.V274549.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 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 the following standard(s): Not assessed at this visit EVIDENCE: The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 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 the following standard(s): 6,7,9,10. The care plans and support guidelines are generally clear and accessible, enabling the staff to provide for the service users needs. Personal support practices promote the privacy, dignity and independence of the service users. EVIDENCE: Care plans and support guidelines, drawn up by Care Management, the home and, where possible, Service User and family are in place. Staff spoken to at this visit indicated a good understanding of Service users rights to make decisions and be consulted on matters affecting them. Risk assessments have been undertaken where potential hazards are identified. The home needs to ensure these are cross-referenced with clients’ identified goals and aspirations. It was confirmed by conversation and observation that Service users are encouraged to make decisions on a day-today basis regarding their general routine and lifestyle. Two residents manage their own finances with support from staff. The issue of confidentiality is addressed during initial induction training. There was no private or confidential information on display and it would appear that all records are stored securely. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15,16. Personal development is a feature of the home. The provision of social and educational activities is service user led. Personal relationships are supported, as are Service user rights and responsibilities. EVIDENCE: Staff have worked positively with the service users to establish interests, likes and dislikes. They are supported by the management to provide a range of formal and informal activities for leisure and educational purposes. At the time of the visit one service user was at a Day Opportunities Centre, the other two were being supported in making arrangements for organising their personal finances and managing accounts. The home has the use of a vehicle for transporting service users to their chosen destination. A service user was observed being supported, from a distance, to cross the road and use the local shops. Family and friends are welcome to the home to visit service users and assistance is also provided to enable service users to travel to visit relatives. The inspector was pleased to note the provision of a ‘craft room’ in the grounds where service users may be supported in a variety of pastimes. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 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 the following standard(s): 18-21 Personal support is offered in a way that promotes privacy and dignity. Systems are in place to manage service users ongoing medication and health needs EVIDENCE: Service users are assisted or prompted according to their individual needs. Routines (i.e. rising and retiring) are flexible around their own activities and preferences. None of the current service user group are able to independently manage their own healthcare arrangements or medication. Staff monitor and report on the general health and well being of individuals on a daily basis and record in the report books any changes and forthcoming appointments. Referrals for review of medication, advice on management of particular issues and information are sought from the appropriate agencies as necessary. Service users are registered with the local surgery . Mrs Campbell reported that all staff have attended medication training which, she understands, will satisfy the requirements of the standard. She also reported that she undertakes an assessment of the competence of staff prior to their involvement in medication administration. It was recommended that the home consults with the ‘epilepsy nurse’ to verify and approve the guidelines on PRN medication. Any changes or additions to the medication administration records need to be appropriately recorded and signed. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 11 The provider reported that they aim to provide a home for life and would endeavour to provide care and accommodation for as long as is practicable and appropriate. This would be undertaken with support of GP District Nursing Service. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 22,23 The home has a written complaints procedure available to service users, staff and visitors. 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 reported that she endeavours to maintain a small-scale ‘family’ environment in which service users feel able to freely express any concerns or discontent. This was confirmed during conversation with one of the service users. A complaints policy and procedure is now available in the home’s policy folder. A copy, signed by the service user where able, is kept in individual files. It was reported that staff have attended ,or are booked to attend Adult protection training. Two of the service users are supported to manage their own financial affairs. The inspector was shown the record maintained by one of her income and expenditure. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 13 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 the following standard(s): Not assessed at this visit EVIDENCE: The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31-35 Recruitment procedures provide protection for the service users. Staff are supported to access training courses to enable them to work more effectively with the service users There are sufficient numbers of staff on duty at all times. EVIDENCE: There is a good and mutually supportive team that ensures at least two members of staff on duty at the home during the day at the home or supporting various activities. Mrs Campbell offers staff a comprehensive induction programme for newly appointed staff. She is aware of forthcoming changes and will implement them in due course. Staff are supported to attend statutory and service specific training courses as well as NVQ care at appropriate levels. The management indicated a good awareness of the need to ensure adequate checks are made on all potential staff to determine suitability and protect the Service Users. Recruitment/induction and probation procedures are in place. Staff files contain appropriate reference checks and all staff have current POVA/CRB checks. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home is well run with an ethos of inclusion, support and development. The health, safety and welfare appear to be promoted and protected EVIDENCE: It appeared from discussion and observation that the Mrs Campbell is approachable and supportive. She operates an open door policy and frequently meets with staff individually and collectively on a formal and informal basis. An open and inclusive atmosphere appears to have been established within the Home. Mrs Campbell was pleased to announce that she has recently been assessed as meeting the standards for Investors in People Award. A service user confirmed that residents’ views are sought in all matters relating to lifestyle and daily routine at the Home. The inspector was informed that regular health and safety, environment and equipment checks are undertaken. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 X 3 x X 3 x x The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 17 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. 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 YA20 Good Practice Recommendations It was recommended that the home consults with the ‘epilepsy nurse’ to verify and approve the guidelines on PRN medication. The Beaches DS0000062099.V274549.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 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 DS0000062099.V274549.R01.S.doc Version 5.1 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. 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