Inspection on 26/09/07 for The Beaches

This inspection was carried out on 26th September 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

The Beaches 20/07/06

The Beaches 21/02/06

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 Paul Stibbons Key Unannounced Inspection 26th September 2007 10:45 The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 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.V348251.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 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.V348251.R01.S.doc Version 5.2 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 Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2006 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. Mr and Mrs Campbell also operate another home in nearby Littlestone. Weekly fees- £789. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over a period of three hours and the provider/manager was present. A completed Annual Quality Assurance Assessment (AQAA) had been completed and returned to the CSCI prior to this visit. A tour of the building was carried out and a variety of records and documents were examined. Two residents were spoken with to gain their views during the visit as well as staff members on duty. Observation of practice informs some judgements. Relatives and care managers were telephoned the next day. What the service does well: What has improved since the last inspection? What they could do better: There are no requirements arising from this inspection and the service is aware of the need to strive for continuous improvement through self-monitoring the service provided. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 6 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. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 7 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.V348251.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have sufficient information on which to make an informed decision as to whether the home will meet their needs. Comprehensive pre-admission assessments are conducted to ensure the service can meet individual needs and that they are compatible with existing residents. Before committing to a permanent placement, people considering moving into the home have the opportunity to visit and spend time with staff and existing residents. People living in the home benefit from the security of an individual written contract detailing the terms and conditions of residency. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 9 EVIDENCE: The home provides a Statement of purpose and service user guides to inform prospective residents or their representatives about the facilities available within the home. There have been no recent admissions, but three care plans viewed of existing residents, demonstrated that pre-admission assessments had been conducted to ensure compatibility with the service and residents already in the home. The manager states that people considering moving into the home have the opportunity to visit and spend time with staff and existing residents before deciding on a permanent placement. Relatives spoken with say they were involved in the transition period in helping their loved ones settle into the home. Three care plans were viewed and each had an individual written contract and statement of terms and conditions with the home. A discussion was held with the manager about how the contracts might be improved. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from having individual care plans that reflect their assessed and changing needs and personal goals. Residents’ are consulted and helped to make choices and participate in the life of the home. Residents’ are supported to take risks as part of an independent lifestyle. Residents’ right to confidentiality of information is upheld. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 11 EVIDENCE: Three care plans were examined and support guidelines are generally clear and accessible enabling the staff to provide for the residents’ needs appropriately. Risk assessments have been undertaken where potential hazards are identified. Changing needs are monitored and recently one resident has been moved from a front bedroom to the rear of the house to avoid external negative influences following consultation with the service user, family and care manager. When spoken with the resident’s comment was “I like this room better”. The manager states that resident meetings were introduced but participation by the residents’ was refused. Observation during the visit indicated that residents discussed everyday issues with staff as and when they arose. Meaningful interaction was observed between staff and residents where everyday topics such as television programmes, activities, meals etc were being discussed. Two residents escorted around the premises during the visit and shared their views of living in the home, the comments were all of a positive nature for example, “ the home is top dog”, “good staff”, “love the food”. The home seeks to develop residents’ daily living skills and residents confirm they participate in cooking and household chores. Records and documents of a confidential nature were all secured in the manager’s office with access only to authorised people. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home benefit from a range of appropriate activities and opportunities that meet their educational and social needs. Residents’ are supported in maintaining contacts with family and friends. People who live in the home enjoy a varied and healthy diet of their own choosing. EVIDENCE: An examination of daily records indicates that residents’ have the opportunity to participate in a range of activities both within the home and the wider The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 13 community. The home has provided a craft room in the grounds where residents are supported in a variety of pastimes such as arts and crafts and a selection of musical instruments they play with staff and sing-along. On the day of the visit a music session was being held and one resident from the sister home attended. Two residents attend a local day centre where they participate in badminton, cooking lessons and Tai Chi. One resident attends the Rare Breed Centre where they participate in painting, sewing and computer skills. Another resident attends college where they study numeracy and literacy and attend gym sessions. The home encourages residents to develop and maintain social and independent skills and facilitates training in everyday living skills. Other external activities include visiting a public house, attending football matches, horse riding and pottery lessons. The residents have enjoyed two holidays this year, one being in Devon and the other in Wales. The home has its own transport to take residents to different activities and on annual holidays. Family and friends are welcome to visit residents at any reasonable time and assistance is also provided to enable residents to travel to visit relatives. Two residents’ go for home stays. Relatives spoken with say they are able to visit at any time and the home keeps them informed of any issues affecting their loved ones. Menus viewed confirmed a healthy and balanced diet and residents spoken with confirmed they were involved in choosing meals and shopping for ingredients. Residents’ comments include “I love the food”, “I like cooking and eating sausages”. Observations during the visit demonstrated a mutual respect between people who live and work in the home. One relative comments, “they always have their welfare at heart”. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and emotional healthcare needs are met and they are protected by the homes policies and procedures for dealing with medication. People who live in the home receive personal support in the way they prefer and require. EVIDENCE: Three support plans were viewed that evidenced that the general health and wellbeing of residents is monitored and changes recorded. Residents are supported in attending health care appointments with other health care agencies. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 15 None of the residents are able to administer and control their own medication and are therefore supported by staff in this area. Training records show that staff members responsible for administering medication have received training in “The safe handling of medication” and the manager states that further training is provided in the home. Training records viewed confirm medication knowledge through certification. Medication is stored in a drugs cabinet within the locked managers office. A senior worker was observed administering medication and correctly following procedures. Files viewed contained a photograph of the individual, medication prescribed, medication information and PRN guidelines. All records viewed were legible and complete. Following a recommendation of the last report the home has implemented a procedure for emergencies as guidance for staff in the event of medication errors. The home has ascertained the wishes of residents/families in respect of serious illness and death and recorded the information in individual files. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home and their representatives know their views will be listened to and acted upon. Residents’ are protected from abuse and neglect. The staff team is competently able to deal with concerns appropriately. EVIDENCE: There have been no complaints received by or about the home since the last inspection. Residents’ spoken with confirm they are comfortable in raising any issues with staff and management. Relatives spoken with said the home consults with them on a regular basis and that they would have no problems in discussing any issues that may arise. Three staff training records examined confirm that staff have received training around safeguarding vulnerable adults and discussions with two members of staff demonstrated familiarity with reporting procedures The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 17 The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from living in a homely, comfortable and safe environment with adequate personal and communal space. Resident’s benefit from having bedrooms that suit their needs and lifestyles. People living in the home benefit from an environment that is clean and hygienic. EVIDENCE: There is a friendly and welcoming atmosphere to the home and service users and staff are comfortable and attentive to one another. A tour of the premises The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 19 showed that there are ample communal areas for residents’ to relax in and a secure, well-maintained garden area they can enjoy in fine weather. Two residents proudly showed their bedrooms and these were both full of personal possessions and reflected the interests and lifestyles of the individuals, one had a large collection of china and figurines that had been collected over a period of time, another a large collection of magazines. One of the residents had recently changed rooms for personal reasons and said she was happy with the arrangement with the comment, “I like this room better”. The home is tastefully decorated with a good standard of furnishings. There are adequate bathroom and toilet facilities that provide sufficient privacy for residents needs. The laundry and kitchen facilities are of a domestic nature and adequate for this small home setting. On the day of the visit the home was clean and tidy and free of any offensive odours. No obvious health and safety hazards were identified. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live in the home are supported by a competent, and effective staff team at all times. Residents’ benefit from having their individual and joint needs met by appropriately trained staff. Residents are protected by robust recruitment policies and procedures in the home. EVIDENCE: Staffing rotas viewed indicate that adequate numbers of staff are on duty during the day to support residents attending external activities and supervise others within the home. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 21 Training records examined indicate that 90 of the staff team either have achieved or are working towards an NVQ qualification in care. Three personnel files viewed evidenced that staff had undergone a full induction and statutory training that included health and safety, first aid, manual handling, fire awareness and infection control. Residents are protected by robust recruitment practices and three personnel files viewed evidenced that appropriate checks are carried out prior to employing staff including 2 satisfactory references, employment history, CRB/POVA checks. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home benefit from the ethos, leadership and management approach of the home. Residents are confident their views underpin all self-monitoring, review and development of the home. The home is run in the best interests of residents and their health, safety and welfare is promoted and protected at all times. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 23 EVIDENCE: Observations and discussions with staff and residents indicate that the home is run with an ethos of inclusion, support and development. Residents’ are consulted where possible and relatives spoken with confirm that the home includes them and work with them in the interests of their loved ones. There is a good standard of record keeping in the home as evidenced in care plans, medication records and recruitment checks. Regular health and safety checks are conducted and evidence of this was seen during this visit through records appertaining to food temperatures, fire checks, portable appliance testing and environmental risk assessments. The homes provider has regular contact with residents’ and families and their views underpin all self-monitoring and development of the home. Care managers spoken with spoke very positively about the service, “resident has developed since admission”. The home has the investors in people award and the manager states that she has learnt a great deal about quality assurance through this process and will use this knowledge in forming a development plan for the service. A discussion was held with the provider around completing the Annual Quality Assurance Assessment to ensure evidence relates to outcomes. The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 4 3 5 3 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 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 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 3 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 3 3 3 3 3 X 3 3 x The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 25 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. Refer to Standard Good Practice Recommendations The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 The Beaches DS0000062099.V348251.R01.S.doc Version 5.2 Page 27 - 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!