Inspection on 01/11/05 for The Beeches

This inspection was carried out on 1st November 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 Beeches 09/10/07

The Beeches 24/05/06

The Beeches 05/07/05

The Beeches 09/12/04

The Beeches 28/07/04

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 The Beeches 45 Wordsworth Road Worthing West Sussex BN11 3JB Lead Inspector Mrs S Rodgers Unannounced Inspection 1st November 2005 11:15 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 The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Beeches Address 45 Wordsworth Road Worthing West Sussex BN11 3JB 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) 01903 239875 01903 217668 Mrs Diana Jane Wyatt Mrs Christine Heffron Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (39) of places The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 Brief Description of the Service: The Beeches Nursing Home is a care home registered to accommodate up to thirty-nine service users in the category of old age with nursing. The establishment is a three storey converted and extended building located in a residentila area of Worthing. Accommodation is provided in 33 single and 2 double rooms. There is a secluded well maintained garden to the rear and side of the building. There is an area for private parking to the front of the property. The service is privatley owned by Mrs D. J. Wyatt. The registered manager in charge of the day to day running of the establishment is Mrs C. Hefferon. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced living at the home. Two staff members were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care. The general comments from residents confirmed that they are satisfied with the care and services provided. Staff spoken will confirmed that they felt supported by the management of the home. Comments from both residents and staff will be included in the main body of the report. The inspector also took the opportunity to observe the interaction between both residents and staff. At the previous inspection Mrs Wyatt advised the Commission for Social Care Inspection that she intended to build an extension to the existing property and carry out some internal alterations to existing rooms. The building work has now commenced. The internal alterations to some existing rooms have been completed with residents having moved into the completed rooms. A ramp has also been installed in the corridor leading off the dining room enabling residents living in that area of the home easier access to all areas of the home. Key standards not assessed at this inspection were met in full at the previous visit. There is one requirement identified at this inspection. The registered provider/ Manager is requested to inform the Commission in writing how and when they anticipate compliance with this regulation. What the service does well: The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 6 Residents spoken with told the inspector that the care and services they receive is of a high standard. Comments such as “ Staff a very good at maintaining our dignity”; “ I can go out when I want” and “the food is excellent” were shared with the inspector. The inspector observed interactions between residents and staff, she found them to be relaxed and confident. The standard of cleanliness through out the home continues to be of a high standard. 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 Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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 The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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): 1,2 Prospective residents and/or their representatives have access to information that enables them to make an informed choice about moving into the home. Written contracts/statement of terms and conditions are provided. EVIDENCE: Prior to moving into the home prospective residents and/or their relatives receive a copy of the homes Statement of Purpose and Service User Guide. These documents clearly inform prospective residents of the services provided. Samples of written contacts were reviewed. They clearly identify rooms occupied, overall care and services, fees payable, additional services to be paid for over and above those included in the fee, rights and obligations of resident and registered provider and terms and conditions of residency. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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): 9, 10 Appropriate systems are in place for the receipt, recording, storage, handling, administration and disposal of medication. Residents are treated with respect and their privacy is upheld. EVIDENCE: The home has a contract with a local pharmacy. The pharmacist visits the home twice a year. The ‘Blister’ pack system is used. Repeat prescriptions are ordered monthly. Systems are in place to check and record medication received and disposed of by the home. Records of medication administered were in good order. Trained nurses administer all medication. All medication is kept in lockable facilities. At the time of inspection tow residents were self-administering their medication. Lockable facilities are provided in their rooms to enable them to store their medication appropriately. Risk assessments have been undertaken and are kept on resident’s files. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 10 During the course of the inspection the inspector observed staff undertaking their duties. It was noted that they treated residents with respect and maintained their privacy at all times. Residents spoken with also confirmed that they felt that they are respected by staff and that their privacy is maintained. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13,15 Residents are enabled to maintain contact with family and friends and access the local community as they wish. Meals provided appeared appetising, well balanced, plentiful and hot. EVIDENCE: Residents spoken with confirmed that they can received visitors either privately within their own rooms or with in the communal areas of the home. They said that their visitors are always made to feel welcome. The homes Statement of Purpose and Service User Guide details visiting arrangements. Residents who were asked confirmed that they can access the local community. One resident said, “ I can go out as I want”. Residents told the inspector that the food at The Beeches is ‘excellent’. They confirmed that they have a choice of two main meals. Records indicate that a 4-week menu plan is devised. A record is also kept in the homes diary of all meals provided. Store cupboards were appropriately stocked. The home has daily milk and vegetable deliveries, meat deliveries 2 to 3 times a week and dry goods once a week. A cleaning schedule if followed and fridge/freezer and meat temperatures are kept. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 12 The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Policies and procedures are in place to ensure the safety and well being of residents. EVIDENCE: Staff spoken with on the day of inspection demonstrated a clear understanding of their responsibilities regarding the reporting any suspicion of abuse. They told the inspector that they would report any incidents to the Mrs Heffron the manager or Mrs Wyatt the proprietor. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20,23,26 All communal areas both inside and outside appeared to be well maintained. Resident’s private accommodation is appropriate to suit their needs. Private accommodation reflects the individuality of each resident. The standard of cleanliness through out the home was of a high standard. EVIDENCE: From touring the building the inspector was able to ascertain that all communal areas of the home were in good order and appeared to be safe. At the present time a large extension is being built. Every effort is being made to maintain the safety of residents and to minimise any inconvenience. Residents who may have been affected by the building work were offered new rooms. One resident said “ Staff were sensitive to the move, the process was taken over a couple of days with one member of staff helping me on her day off”. Residents can personalise their rooms with their own personal possessions, arm chairs, chest of drawers etc. All areas of the home were clean and free The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 15 from offensive odours. Laundry facilities are appropriate to the size and current needs of residents. Policies and procedures are in place for control of infection. Ancillary staff confirmed that they receive manual handling training, fire and food hygiene. The staff spoken confirmed that they are provided with protective clothing. Systems are in place to handle soiled linen. The home has a contract with a waste disposal company for the collection and disposal of clinical waste. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 16 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): 29 A recruitment procedure is in place EVIDENCE: Recruitment records of three staff were reviewed. Recruitment records were in good order. All staff complete and application form, 2 references and an Enhanced Criminal Records Bureau checks are sought. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 17 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): 33, 38 The quality assurance and monitory audit must be completed to ensure that the home is run in the best interests of residents. The health and safety of residents is promoted. EVIDENCE: Records seen at this inspection demonstrated Mrs Heffron is in the process of carrying out a quality assurance audit. However the process must be completed and the outcomes published along with the homes development plan. The development plan should demonstrate how the management plan to improve services should any areas of concern be identified or how they intend to continue to improve and maintain the present standard of service. Maintenance records indicate that regular servicing of boilers and equipment such as vertical lifts; boilers and electrical appliances are carried out. Systems The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 18 are in place to ensure safe working practices. All new staff undergo induction training in line with the Skills for Care guidelines. The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 19 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x 3 x x 3 x x 4 STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 2 x x x x 3 The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP33 Regulation 24 Requirement The quality assurance and monitoring audit must be completed and a report and development plan published. Timescale for action 06/12/05 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 Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 21 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 The Beeches DS0000024222.V255540.R01.S.doc Version 5.0 Page 22 - 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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