Inspection on 19/12/05 for The Beeches

This inspection was carried out on 19th December 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Beeches 27/11/07

The Beeches 21/11/06

The Beeches 04/09/05

The Beeches 27/07/04

The Beeches 25/03/04

Similar services:

Chesham House

Argyll House

Dorset Lodge

Acacia House

Falcon House

Dial House Nursing Home

Cromwell Avenue (9)

Abbey Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Beeches 7 Crescent Rise Luton LU2 0AT Lead Inspector Katrina Derbyshire Unannounced Inspection 19th December 2005 13:00 The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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 DS0000014881.V273924.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 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 Beeches DS0000014881.V273924.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Beeches Address 7 Crescent Rise Luton LU2 0AT 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) 01582 425792 Mr Geoffrey Plane Miss D Newman Mr Jonathon Plane Care Home 12 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (12) of places The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th September 2005 Brief Description of the Service: The Beeches is a care home for younger adults who have mental health needs. The home opened in 1987, and some of the residents have been at the home since then. The home is registered for a maximum of 12 residents. All residents are offered single bedrooms, and four of the rooms have en-suite facilities. There are two lounges on the first floor, and the kitchen and the dining room are located in the basement. The home has a garden at the rear of the house, which is mainly grassed and has trees, flowerbeds, and a water feature. There is a small parking area at the front of the house. The home is within walking distance of the local bus and train station in Luton. The shopping centre and other amenities in the town centre are also within walking distance of the home. The Beeches DS0000014881.V273924.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 on 19th December 2005. The Registered Manager Mr. Jonathan Plane was present during the inspection. Many of the areas within The Beeches were visited and the inspector spent time with many of the residents’ in the non-smoking lounge of the home. The care of two residents’ was examined in depth by looking at their records and interviewing the residents’ and staff who look after them. Observations of care practice and communication between the residents’ was also made at the inspection. The focus of this inspection was to look at standards not assessed at the inspection in September 2005. What the service does well: What has improved since the last inspection? What they could do better: Staff write about the care residents should be offered, these are called care plans. There should be a care plan for every need a resident has so that staff The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 Page 6 know how they should support the resident, although there are care plans there are not ones for every need. Also even though the home has redecorated certain areas in the home and these look a lot nicer, there are still improvements needed in other areas. They also need to make sure there are radiator guards covering all radiators, this is very important because if a resident falls near a radiator they could burn themselves if there was no guard in place. 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 DS0000014881.V273924.R01.S.doc Version 5.0 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 Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1&4 The homes statement of purpose and service user guide are very good at providing residents and prospective residents with details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The statement of purpose at the home was clear and contained all the information needed, so that residents would know about the staff and all the services the home could offer. A copy of this document was available in the home. Staff confirmed that they were aware of its purpose and contents and residents were also aware of that it was available. All residents spoken to confirmed that they had been given the opportunity to visit the home prior to making a decision on moving in. One resident said that they had been invited for meals at the home to help them familiarise themselves with the other residents. The Registered Manager also expressed the view of the home in that all potential residents would be welcome to visit the home as often as needed to help that resident with their transition into the life of the home. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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 the following standard(s): 10 Staff have a good level of knowledge and awareness of Data Protection so residents confidentiality is respected and maintained in the home. EVIDENCE: Written information relating to the residents was seen to be kept in a locked area within the home, access to this information was limited to only those to whom the information was essential as part of their role and responsibilities in the home. Staff through discussion demonstrated a very good understanding of the need to maintain confidentiality of information relating to all residents. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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 the following standard(s): 14 Leisure activities are managed well in the home so residents benefit from a varied social life. EVIDENCE: Activities took place within the home these included watching videos, board games and crosswords in addition many residents are helped to pursue their own interests outside of the home. A written record of activities is maintained and was seen at this inspection. One resident said “ l like going into town on my own, looking round the shops stuff like that”, staff had undertaken a risk assessment so that the resident could pursue his own interests and remain independent. Staff also confirmed that visits to local attractions or to the pub were organised and that residents had a choice if they wished to attend. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: These standards were not assessed at this inspection. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed at this inspection. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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): 24 The overall quality of décor and furnishings in the home is to an acceptable standard providing a pleasant environment for the residents however further work is required to ensure that this standard is maintained throughout the home. EVIDENCE: Redecoration in communal areas had taken place earlier in the year alongside replacement of items of furniture. However staining of carpets and some of the furniture in the communal areas looked very worn. Previously it was recommended that replacement covers and alternative flooring should be considered, this recommendation remains, as regular cleaning of these items is not sufficient. Areas that require attention were discussed with the Registered Manager at the time of the inspection. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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): EVIDENCE: These standards were not assessed at this inspection. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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): Comprehensive policies in the home give clear guidance and instructions to staff so the care and support given to residents is safe and continuity is maintained. EVIDENCE: A sample of the homes policies and procedures were examined and included health and safety and confidentiality. All those viewed gave clear guidance to staff on how they should act and support the residents in areas such as health and safety and outlined their own individual responsibilities. Staff when questioned confirmed their awareness of the homes policies and were able to describe the content within these. Written records relating to moving and handling, fire safety and environmental health issues were seen and noted to be up to date and showed that the required checks in these areas had been undertaken. However further work is required on the risk assessments for residents smoking and radiator guards must be in place to protect the residents. The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 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 3 X X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Beeches Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X 3 2 X DS0000014881.V273924.R01.S.doc Version 5.0 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. 1. Standard YA42 Regulation 12(1)(a) & 23 Requirement Radiator guards must be in place in all areas with exposed radiators to prevent the risk of burns. Timescale for action 31/03/06 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 YA24 Good Practice Recommendations Alternative floor coverings and furniture/furniture coverings could be considered for use, especially in communal areas.(Previous recommendation from September 2005) Further work should be undertaken on risk assessments relating to residents smoking and should include the measures staff should take to reduce any risk. 2. YA42 The Beeches DS0000014881.V273924.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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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