Inspection on 19/09/05 for The Beeches

This inspection was carried out on 19th 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 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 12/06/07

The Beeches 01/03/06

The Beeches 16/02/05

The Beeches 19/10/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Beeches (The) 28 Shell Beach Road Canvey Island Essex SS8 7NU Lead Inspector Patricia Stanton Unannounced Inspection 19th September 2005 09.00 Beeches (The) DS0000047171.V252895.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 Beeches (The) DS0000047171.V252895.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. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beeches (The) Address 28 Shell Beach Road Canvey Island Essex SS8 7NU 01268 515441 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) Kingswood Care Services Limited Michael Frederick Bedford Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Personal care to be provided to not more than 4 adults with a learning disability. Mr Michael Frederick Bedford to complete an approved course in Protection of Vulnerable Adults (POVA) within three months of registration. 16th February 2005 Date of last inspection Brief Description of the Service: The Beeches is a two storey detached property set in a quite residential area in Canvey Island. The home is situated close to the beach, buses, pubs and clubs and within a mile of the town centre. The home offers one lounge, one dining room/ kitchenette and four single bedrooms, three with en suite facilities with an additional bathroom and downstairs WC. The grounds and garden are well maintained and accessible offering both lawn and decking area for residents. Residents within the home access a range of day care and participate in a range of leisure pursuits/work based programmes within the local community. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection took place on the 13/09/05. During the inspection three residents were spoken too, three staff members and the deputy manager. Records and documents were looked at, including the previous requirements and recommendations from the last inspection. Time was spent in the lounge, kitchen and one residents room, chatting and taking note of the residents daily routine in the home. The residents’ staff and in particular the deputy manager on duty, were most helpful, and this was greatly appreciated. The inspector would like to thank the residents and staff for their time and cooperation during the inspection. What the service does well: Provides a homely environment for residents, which is decorated to a high standard. The home provides a high standard of care to residents from a stable core staff team who are managed and supported. The home provides nutritious food for residents and a range of suitable activities and holidays suitable to meet residents’ needs. The communication between residents and staff is positive, caring and respectful and residents have the opportunity to go out every day with staff that transport them in the homes vehicles. The home is monitored to ensure standards of care are improved. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 6 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. Beeches (The) DS0000047171.V252895.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 Beeches (The) DS0000047171.V252895.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): 2,3 Prospective residents individual aspirations and needs are assessed and residents know the home they choose will meet their needs and requirements. EVIDENCE: The home has not admitted any new residents since the last inspection but the residents spoken to appeared to be very contented living in the home and have their needs met. One resident stated, “ I’m happy I have my own room and I can go to the pub” another residents stated, “My mum thinks it’s like home from home here and I like it although, I would like another female resident for company. Beeches (The) DS0000047171.V252895.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): 6,7,8,9. Residents know their assessed changing needs and personal goals are reflected in their individual plans and residents are able to make decisions about their lives with support of staff and family. Residents are consulted on and participate in all aspects of life in the home and supported to take risks as part of their independent lifestyle. EVIDENCE: The registered manager audits care plans weekly to ensure staff deliver appropriate care. Care plans evidenced residents are involved in their care and make decisions supported by the staff and their families to enable them to reach their goals and promote independence. One care plan assessed the resident to be less dependant on others and encouragement for her to be more self-caring and mobile. The daily files confirmed staff assisted the resident to carry out her personal laundry and attend a dentist, which was a great fear of the resident in the past. However staff had helped the resident over come her fear enabling her to be more independent. Staff stated it was a miracle to see the resident attend a dentist appointment. The resident had previously refused to attend any health care appointments. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 10 Care plans evidenced variety for residents’ and included weekly activity plans with themes to make events more interesting. One resident choose bubbles, Abba music and clothes as her themes. One resident spoken to had just enrolled in a college course. It had taken her some time before she was able to attend the course because of her lack of confidence, however with the support of staff the resident had made progress to personal development. Staff were seen to encourage the resident to make her own decisions with regard to choice. The home arranges meeting for residents to seek their views and opinions regarding care and changes in the home but staff also speak individually to residents to ask them for their opinions with regard to day-to-day decisions. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 11 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): 11,12,13,14,15,16,17. Residents have the opportunity for personal development through participation of appropriate leisure activities and inclusion in the local community. Residents are able to have appropriate personal, family and sexual relationships and their rights respected. Residents are offered a nutritious diet and enjoy meal times but weight gain in residents needs to be monitored, to prevent future health problems. EVIDENCE: Residents spoken to at inspection stated they participated in many activities in the local community including “going to the pub to have a Guinness or lager,” watching the registered manager sing in a choir at the salvation army and attending local day centres and work placements. Residents are able to choose what type of holiday they wish to go on. Some residents were preparing to go to Hastings, and others preferred themed holiday camps or days out. Last year residents visited Spain. Residents had visited the circus, London, friends, Duxford Air craft museum, Eastbourne, Hanningfield, a garden party and one resident showed the inspector his 21st Birthday party celebrations photos whilst living in the home. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 12 Residents are able to visit friends and one resident has had her sister stay over at the home and again recently to visit. Another resident had invited his girlfriend to the home to visit for tea and relatives and friends are encouraged by staff to maintain contact with resident as deemed appropriate by the placing social workers. Residents continue to enjoy the food supplied by the home and food stores examined were fresh and of good quality. Residents weight is recorded and two residents had gained quite a bit of weight in the last year although one resident showed signs of loosing a few pounds in the last few months. Staff should ensure overweight residents are encouraged to eat healthy to prevent future long-term health problems. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 13 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): 18.19. Residents receive personal support in the way they prefer and require and have their physical and emotional health needs met. EVIDENCE: Residents’ health care needs are consistently well met within the home and records provided evidence of this. The home has a stable core staff that have a good understanding of residents needs. Staff treat residents with respect and actively support residents to maintain control of their care and health needs whenever possible. The homes access physiological support for residents who have regular reviews and assessments. Records demonstrated improvement in residents’ behaviour and appropriate health appointments were attended. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 14 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): 23. Residents are protected from abuse, neglect and self-harm. EVIDENCE: Records confirmed staff had attended appropriate protection of vulnerable adults training. The deputy manager stated staff commented following training the implications of awareness for emotional abuse to one resident. This appeared to have enhanced awareness for all staff. Staff members spoken to at inspection were conversant with the signs of abuse and procedures for reporting abuse. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 15 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): 24,28,30. Residents live in a homely, comfortable and safe environment with sufficient communal space to meet their needs. The home is clean, hygienic and decorated to a high standard. EVIDENCE: Pictures have been placed in the homes lounge, of all four residents giving a homely feel and other pictures of residents were displayed in the home, to remind residents of their fun days out. The homes garden is kept well with a new BBQ for residents to enjoy. One resident was seen to help a staff member to hang washing out and really appeared to have fun with the female staff member. The home has a large lounge and dining area for all four residents to use. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 16 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): 31,32,3235,36. Residents’ benefit from staff that are, competent and suitably qualified to meet the needs of all residents. The homes staff team are supported and regularly supervised. EVIDENCE: The staff in the home appeared to have a good understanding of residents. Communication between staff and residents was mutually caring, positive and demonstrated trust and affection. Staff keep residents safe by using appropriate boundaries. The home has introduced training in staff meetings and staff confirmed they receive regular supervision, however not all staff have had training in aspergers and autism and the home accommodates residents with these conditions. Staff meetings minutes evidenced staff were asked to find the homes development plan and statement of purpose to read and then feedback to other to assist staff awareness of the homes purpose. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 17 One staff member stated she had seen improvements in residents’ conditions. “Staff are committed and work very well together. The team are very supportive and agency staff are seldom used”. One staff member stated the manager is efficient and monitors the home to ensure high standards of care are maintained and staff confirmed the manager was approachable and will listen to staff views and opinions. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 18 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): 37,38,39,41. Residents’ benefit from a very well run home that has clear leadership with an open management approach. Residents’ views underpin self-monitoring, reviews and developments and residents rights and best interests are safeguarded by effective record keeping policies and procedures. EVIDENCE: Records required to protect residents were generally well maintained and up to date, stored safely. The manager has a clear development plan and vision for the home, which he has effectively communicated to the residents and the staff team. The manager involves residents and staff in decisions made and is supported by the registered providers in providing clear leadership throughout the home. All staff demonstrated an awareness of their roles and responsibilities. The manager has a good understanding of the areas in which the home needs to improve and planning is ongoing. Beeches (The) DS0000047171.V252895.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 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 X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 4 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X x 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beeches (The) Score 3 3 X x Standard No 37 38 39 40 41 42 43 Score 3 3 3 X 3 X x DS0000047171.V252895.R01.S.doc Version 5.0 Page 20 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. 1 2 3 Refer to Standard YA24 YA32 YA17 Good Practice Recommendations The home should consider residents wishes in respect of a larger dining room table. Staff should undertake training in aspergers and autism. Residents’ weights should be monitored to prevent future health problems. Beeches (The) DS0000047171.V252895.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Beeches (The) DS0000047171.V252895.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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