Inspection on 16/05/05 for The Beeches

This inspection was carried out on 16th May 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 13/02/09

The Beeches 22/02/08

The Beeches 16/03/07

The Beeches 15/11/05

The Beeches 31/08/04

The Beeches 19/04/04

Similar services:

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Southfields

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33 St John`s Church Road

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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 35, Ethelbert Road Canterbury Kent CT1 3NF Lead Inspector Tina Thomas Unannounced 16 May 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 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Beeches Address 35 Ethelbert Road, Canterbury, Kent, CT1 3NF 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) 01227 769654 Mr David John Barzotelli Mrs Anne Cecilia Britnell CRH 18 Category(ies) of Care Home for Younger Adults with a Learning registration, with number Disability x 18 of places The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: LD(E) is restricted to 3 residents whose dates of birth are 26/07/1930, 02/04/1935 and 16/11/1927 Date of last inspection 31 May 2004 Brief Description of the Service: Beeches is a care home for young adults. It provides personal care and accomodation to 18 people with learning disabilities. There is currently a variation to the registration because three of the people living in the Home are over 65. The Home is located in a residential part of Canterbury,not far from the city centre and close to public transport.The Home consists of a large detatched building with an extension to the rear. There are 18 single rooms and 1 shared. There is parking space at the front of the house and also some on road parking. At the rear of the house is a large garden area which is well maintained and accessible. The owner is Mr David John Barzotelli. Mr Barzotelli also owns another home in the area called Pilgrims Lodge. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted between 2pm-6pm. The Registered Manager, Mrs Britnell, was not on the premises at the time. The Inspection was conducted with the assistance of the Deputy Manager Sally Pout. The Inspector toured the building, spoke with the people living at the home, staff, and briefly with the owner. On the day of inspection there were 17 people living in the home. One of these people was away at the time of inspection. The Home had one vacancy. Five people were out, at the day centre. 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 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 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 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 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) Not inspected at this inspection EVIDENCE: The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 The care planning system is clear and consistent and provides staff with the information they need to meet Service Users needs. Service Users are involved, and understand as much as they are able, their careplans. EVIDENCE: Care plans were well documented and of good quality. The plans are reviewed monthly with the people who live in the home, who sign their agreement of the plan. Input from G.P’s, speech therapists and other health care professionals is clearly documented. A behaviours and strategies sheet gives staff instructions on how to deal with certain behaviours in a consistent manner, to enforce positive behaviour. Staff were observed to offer people in the Home choices for example, ‘what would you like to do now?’ ‘ How will you do that?’ ‘What would you like to drink?’ Care plans record the personal skills and household skills of those that live in the home. Several people discussed what they do in the home, which included two people who tend the gardens. Risk assessments are in place where necessary. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,14,16,17 Service users have opportunities for personal development. They take part in appropriate activities. Service users enjoy a healthy diet. EVIDENCE: On the day of inspection five of the people that live in the home were out at a day centre. Documentation in care plans showed that other people that live in the home, where able, take part in valuable and fulfilling activities. Such as housework, gardening, going on trips and holidays. Activities and hobbies were clearly identified in care plans. On the day of inspection a Christian service was taking part. Service Users were enjoying singing. Service Users who are able, and wish too, have their own keys to their individual rooms. Staff were observed to interact with the people who lived in the home and not exclusively with each other. People that live in the home said the food was very nice. Staff also thought the food was of good quality and provided a balanced night. They told how sometimes small groups of people that live in the home go out for lunch and sometimes they have Chinese takeaway nights, which the people who live in the Home enjoy. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The people who live at the Home are supported in a way as to promote their independence, privacy and dignity. Their health care needs are monitored. EVIDENCE: Care plans fully described the health care needs of Service Users and procedures were in place to address them. As previously mentioned support from other health care professionals such as speech therapists and G.P’s were clearly documented. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected at this inspection EVIDENCE: The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26,27,28,30 The Home creates a safe and comfortable environment for the people who live there. The Home is suitable for its stated purpose, accessible, safe, homely and well maintained. EVIDENCE: The Home is clean and free from offensive odour. Furnishings, fittings, adaptations and equipment are of good quality and domestic in nature. Bedrooms are very personalised; people that live in the home have added their own effects to reflect their own personality. Furniture and fittings provided by the home is of good quality. Bedroom doors are lockable and some people that live at the home choose to use their keys. The Home has 4 baths and 7 toilets. Toilets and bathrooms are clean and have suitable aids to assist the people that live at the home. One bathroom has a hoist. Toilets and bathrooms are lockable. One bathroom does not have a sink. A good practice recommendation has been made that a hand sanitizing gel be placed in this room. (Recommendation 1) The home has two lounges and a dinning area which can be used for a variety of activities. On the day of inspection a Christian service was taking place in one of the communal lounges. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 13 The Home has a selection of garden space, which have suitable garden furniture. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32,36 Staff numbers are adequate to meet the needs of those who live at the Home. Staff are adequately trained and supported EVIDENCE: On the day of inspection six members of staff had been on duty in the morning this included a cleaner and a cook. In the afternoon there were three care staff on duty who were also responsible for the cooking of the evening meal. Staff cared for the people that live in the home in an unhurried manner. Discussion with staff demonstrated that they had a good knowledge of the specific disabilities and conditions of those that live at the Home. The Home has a training matrix which demonstrates that staff have had current and appropriate training. Some staff are trained to N.V.Q Level 2 and some have completed N.V.Q Level 3. Staff confirmed that they are well supported by their Manager and have regular, formal 1-1 meetings with her. Staff also have regular staff meetings. Staff files were not viewed at this inspection. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 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 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) 41,42 The management of this home is satisfactory overall and records are well managed. EVIDENCE: Records within the home are well maintained, examples are care plans, risk assessments, accident book and visitors book. Records are stored appropriately, secure, up to date and in good order. The Registered manager ensures the health, safety and welfare of the people that live in the home and the staff by ensuring suitable risk assessment, staff training including manual handling and COSHH . Suitable risk assessments are in place so as to ensure the health safety and welfare of Service Users. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Beeches Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x 3 3 x H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 30 Good Practice Recommendations hand sanitizing gel should be placed in the lavatory without a sink. The Beeches H56-H05 S23597 The Beeches V226819 160505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 33 Greycoat Street London SW1P 2QF 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. 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