Inspection on 12/09/05 for The Beeches

This inspection was carried out on 12th September 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Beeches 26/08/08

The Beeches 26/09/06

The Beeches 05/01/06

The Beeches 09/12/04

The Beeches 26/02/04

The Beeches 20/01/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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 Beeches Lympne Place Aldington Road Lympne, Hythe, Kent CT21 4PA Lead Inspector Geoff Senior Unannounced 30 August 2005 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 Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Beeches Address Lympne Place, Aldington Road, Lympne, Hythe, Kent, CT21 4PA 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) 01303 260453 Home Farm Trust Clifford Andrew Neve Care home only 8 Category(ies) of Learning Disability x 8 registration, with number of places The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The Beeches is registered as a Care Home for up to 8 adults with a learning disability. The Home Farm trust is the Registered Provider and the home is currently managed byMr. C Neve. The Home is one of 4 residential units operated by The Home Farm Trust on the Lympne Place site. The others comprising; Seaview House; The Chapel House and. High Trees. The Area Service manager is based on site in the administration block The Beeches H56-H05 S23478 The Beeches V242733 300805 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 was undertaken on 29/6/05. The inspector met and spent time with the manager and spoke generally with staff on duty. The level of functioning of the service users limited the opportunity for verbal interaction. However the inspector observed, throughout the visit, the staff’s attention to the service users’ immediately expressed needs, their patient, friendly and respectful manner and their treatment of each service user as an individual. The Inspector viewed the premises and inspected a range of records. 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 Beeches H56-H05 S23478 The Beeches V242733 300805 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 Beeches H56-H05 S23478 The Beeches V242733 300805 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) 2,3,4,5. There is a system in place for undertaking pre-admission assessments of prospective service users and an understanding of the need to ensure compatibility with the existing resident group EVIDENCE: All prospective service user contact and admissions are initiated via the HFT Social Worker who, together with staff from the home, will undertake a pre placement assessment and compile a profile in order to ensure that HFT could continue to appropriately meet the identified needs. Family and service user involvement in the decision making process was also encouraged. The service would not be offered to any prospective service user unless their needs could be met and it could be established that the placement would be mutually beneficial. The staff collectively have experience in working with adults with a learning disability and attend training for specific conditions and practice needs such as epilepsy and communication skills. Staff and service user support and guidance is sought from the relevant specialists and the local CLDT. Potential placements are offered the opportunity to visit the Beeches prior to accepting the placement. They, and their representative/ family, may visit to meet and spend time with the existing service users and staff, view the accommodation and find out about the lifestyle and routine they could expect to experience at the home. Overnight and weekend stays are offered. An HFT Charter of rights for residents is offered to service users with the service user guide. A copy of a written and costed contract/statement of terms and The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 8 conditions agreed between the home and service user was not evident. It was understood that this is being developed. The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 9 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) Not inspected EVIDENCE: The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 10 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) 11-16 Service users are encouraged to make use of opportunities to develop personal, social and living skills. Daily routines respect service user’s rights and individuality. Service users are helped to maintain appropriate family and social contacts. EVIDENCE: Discussion with staff, service users and records viewed confirmed a diverse programme of activities offered to service users individually and as a group. Each service user has a weekly programme in which they may participate or decline according to inclination. Service users are encouraged and helped to progress their personal and social skills towards a more independent lifestyle.. In house activity includes work on communication skills and domestic tasks. Due to the complex nature of their presenting problems it is not generally appropriate for service users to pursue further education or employment opportunities. On site Day care is a mixture of social, recreational and educational activity. The aim and objectives of each activity are documented along with the planned outcome and associated staffing requirement. Service users are supported to attend cooking, computer, woodwork and numeracy courses at a local college. Service users were The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 11 recently supported on a holiday to Butlins. The costs were shared by the Trust and service users. The home makes use of the local facilities and services as far as possible. These are however somewhat limited. They endeavour to maintain good neighbourly relationships within the community but the property is relatively isolated. The home has two unmarked vehicles which are used to transport service users to various venues. . Service users who choose to attend local places of worship are supported and accompanied by staff’ Visitors are encouraged and welcomed without restriction and may be received in the resident’s own rooms or in the communal areas. Family contacts and home visits are facilitated where it is the service users wish. Service users are free to come and go within and outside the home subject only to risk assessed restrictions e.g. limited unsupervised access to the kitchen. The service users are supported in determining access to their own rooms. Staff were observed interacting with service users in a friendly, patient and non patronising manner. The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 12 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) 18,19,20,21. Management systems are in place to monitor and review the on going health needs of the service users. Staff are generally aware of the personal care needs of the service users and deliver care in a manner that promotes privacy and maintains dignity. EVIDENCE: Staff are aware of the need to maintain service user dignity and privacy when offering and supporting personal care. Staff interact with service users in a friendly and non patronising manner. A flexible regime offers choice but encourages involvement in daily routines. Service users are all registered at a local surgery and are subject to regular health checks. Staff complete daily records and shift handovers, which include reference to the general health and welfare of the individual. Service users are helped to access community health services and accompanied as required. Specialist advice and information would be sought in respect of behavioural and health issues. The storage and recording of medication appeared to be satisfactory and up to date The Manager is satisfied with the competency of those designated to administer medication. Medication administration is managed by two staff at all times. The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 13 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) Not inspected EVIDENCE: The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 14 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) Not inspected EVIDENCE: The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 15 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) 31-36 Recruitment practices provide for the protection of service users. Staff are supported to access training courses to enable them to work more effectively with the service users. The staff team is well supported and supervised by the management and is clear about its roles and responsibilities EVIDENCE: Staff were noted interacting with service users in a friendly, attentive and non patronising manner. Service users were seen approaching staff and management without inhibition. Staffing levels have been adjusted to reflect the needs of the current service user group. The rota identifies specific roles and tasks. Staff are offered NVQ level 2 and above training following the completion of a ‘Foundation for care’ based introductory course and induction period. Appropriate checks are undertaken prior to appointment or unsupervised access to service users.. Staff receive regular one to one supervision. The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 16 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) 37,38 The home is well managed and provides a caring and supportive service that promotes development, health and welfare of the service users.. EVIDENCE: There appears to be an open and inclusive atmosphere and the staff and service users have the opportunity to express views and opinions. Staff are offered regular one to one supervision and an annual appraisal from which particular paths for study are been identified. The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 17 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 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Beeches Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 18 yes 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 YA5 Regulation 5 Requirement The registered manager develops and agrees with each prospective service user a written and costed contract/statement of terms and conditions between the home and the service user.The service user guide shall include a standard form of contract for the provision of services and facilities by the registered provider to service users Timescale for action 31/5/05 amended to 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 19 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 Beeches H56-H05 S23478 The Beeches V242733 300805 Stage 4.doc Version 1.40 Page 20 - 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. 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