Inspection on 26/08/08 for The Beeches

This inspection was carried out on 26th August 2008.

CSCI found this care home to be providing an Good service.

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 26/09/06

The Beeches 05/01/06

The Beeches 12/09/05

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 30/01/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: The Beeches Lympne Place Aldington Road Lympne Hythe Kent CT21 4PA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lawrence     Date: 2 6 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: The Beeches Aldington Road Lympne Place Lympne Hythe Kent CT21 4PA 01303260453 Telephone number: Fax number: Email address: Provider web address: donna.board@hft.org.uk Name of registered provider(s): Name of registered manager (if applicable) Home Farm Trust Ltd Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 8. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD). Date of last inspection Brief description of the care home The Beeches is a care home registered to accommodate up to eight people with a learning disability. The fees are in the range of 1032 pounds to 1474 pounds per week. The registered provider is The Home Farm Trust and the home is currently managed by a newly appointed person who is not yet registered. The home is one of several on the Lympne Place site. The area service manager is also based on this site. The home has its own garden, with garden furniture and residents also have access to the general Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 8 Brief description of the care home grounds and a club house. The home is situated in a rural setting but within easy travelling distance of the towns of Hythe, Ashford and Canterbury. The home has its own transport. The last inspection was 26 September 2006. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means that the people who use the service experience good quality outcomes. The inspection visit was notified to the home the day before to ensure that there would be someone available and started at 10.50 and finished at 16.50. We (the Commission for Social Care Inspection, CSCI) looked at various records in the home and also used information sent to us by the manager before the visit. This was the Annual Quality Assurance Assessment (AQAA). Information from the previous inspection was also referred to. We observed the residents who live at the home, noting how they reacted to staff and how relaxed and comfortable they were within the home. A tour of the building was undertaken and this included residents’ rooms. We made observations of Care Homes for Adults (18-65 years) Page 6 of 24 staff interacting with, and supporting residents. We spoke to staff including the senior support worker who was in charge of the home at the time of the inspection and staff on duty. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents’ individual aspirations and needs will be assessed. Evidence: We looked at two records for this inspection. It was clear from the information available that the home gathers information about residents’ needs and their wishes. This includes information from the placing authority, from any previous place that someone was living and with family where appropriate. Information from the assessment is used to compile a care plan (see Standard 6). Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents can be confident that their changing needs will be noted in their individual plans and that they will be supported to make decisions and take risks to enable as independent a lifestyle as possible. Evidence: Person centred plans are being developed for everyone living in The Beeches. They contain information for staff about the support needed by people with particular regard to communication, making decisions and behaviour unique to that individual. The home has a key worker system in place. Staff working with individuals complete daily records and those looked at for this inspection were informative and clearly written. There were examples of residents being encouraged to make choices and decisions. This included spending time on their own or choosing to be with others; choosing which member of staff to provide support; planning menus; choosing which religious establishment to attend; and choosing décor and colours. All the residents need some Care Homes for Adults (18-65 years) Page 11 of 24 Evidence: support regarding their finances but everyone has an individual savings account. Communication is recognized by staff as essential for making choices and decisions and we observed staff encouraging people to express themselves. The home uses a tool (AssessNet) to undertake risk assessments. Those seen during this visit were clearly written and specific to the individual. The emphasis is on supporting people to be as independent as possible. Care Homes for Adults (18-65 years) Page 12 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities and involvement in the local community, as well as support for personal relationships will be provided for residents. They will benefit from having a healthy diet. Evidence: Residents enjoy a range of activities. Some of this is formal, such as college courses and some of it is informal such as music sessions, art and craft sessions, reflexology, tenpin bowling, swimming, attending a gardening project, outings for personal shopping, out for lunches, puzzles, drawing and watching TV and DVDs and using the local village shop, pub and hairdressers. There is a workshop on the site which residents use as well as facilities in the community. Residents spoken to said they had lots of things to do and they enjoyed them. Some residents attended a music session during the inspection and they came back buzzing and chatty. Staff confirmed that Care Homes for Adults (18-65 years) Page 13 of 24 Evidence: residents would be supported to attend a religious establishment if they wished and there is space within the person centred care planning format to identify this. Various examples were noted of residents being supported to maintain relationships with their family and also to start new friendships. Residents are encouraged to plan meals and be involved in food preparation and shopping but this does depend on individual circumstances. The food seen during this inspection looked and smelt appetizing. Examples were noted of special dietary needs being catered for eg diabetes and gluten sensitivity. Care Homes for Adults (18-65 years) Page 14 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected by the home’s policies and procedures regarding medication and their physical and emotional needs will be responded to. Their preferences and requirements for support are respected. Evidence: The care plans contained guidance for staff about how to support people with their personal care. The daily records reflected that people get up and go to bed at different times although staff confirmed that support and advice would be offered if necessary. Health care needs are recorded and the records showed that health care professionals are involved both routinely and as required. The manager confirmed in the AQAA that everyone has their own health action plan and some of these were seen for the inspection. Nobody currently manages their own medication. There are policies and procedures in place regarding medication. The medication administration sheets seen during this visit were appropriately completed. The home uses a monitored dosage system for medication. Storage was satisfactory. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ views are listened to or ascertained, and acted on. There are systems in place to protect residents from abuse. Evidence: There is a complaints procedure in place and the senior member of staff explained that it is available in different formats and they have tried to ensure that where possible residents are able to understand. The complaints procedure was also made available to people outside the home. The key worker system and the residents’ meetings also provide opportunities for residents’ concerns to be heard. There are policies and procedures in place regarding adult protection such as the disclosure of abuse and bad practice (whistle blowing) and the management of residents’ finances. Staff have received training also. Two members of staff confirmed their awareness of adult protection procedures and the records of other staff and the staff training records confirmed this also. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from living in a home which is homely and comfortable as well as clean and hygienic. Evidence: We toured parts of the home including some residents rooms. The building is purpose built. The personal and communal areas meet the needs of the people living in the home although communal storage for activity equipment for example is quite limited. Privacy and independence are encouraged. There is a village nearby with some facilities and the home has transport available to enable residents to go farther afield to towns and amenities nearby. Furnishings and fittings are domestic in style and residents have been involved in making choices wherever possible. The tour of the building did not identify any health and safety issues. There is a garden available for residents to use. The home was clean and fresh on the day of the inspection. The laundry area is satisfactory although the nearest handwashing facilities are just outside the laundry. Staff said they were aware of the importance of hand washing and records showed that most of the staff have received food safety training. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sound recruitment procedures and training already provided and training planned, will have a beneficial impact on residents. Evidence: More than half of the permanent staff have a national vocational qualification (NVQ) level 2 and two people are currently working towards this. Our observations of staff showed them to be positive and respectful towards the people they were supporting. There were times for encouraging people to do things, time for banter and jokes and time for enabling residents to be relaxed or rest. Residents were observed to be comfortable with staff, talking or communicating with confidence. Some residents chatted informally to us during this visit and their comments reflected that they were satisfied with their routines and the way staff helped them. Staff who we spoke with were knowledgeable about the people they supported. The records of the recruitment procedure seen during this inspection showed that they are robust and include application forms, interviews, seeking references, undertaking criminal record bureau checks and terms and conditions of employment. All staff are given a copy of the General Social Care Council’s code – this is now included within the induction training booklet that individuals have in order to record the stages of Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: induction. This booklet is very good and reflects the common induction standards. A member of staff said that there is a five day formal organization induction as well as induction in the workplace. There is an ongoing training programme in place for people working for Home Trust Farm. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from a well run home and their health and safety is promoted and protected. Evidence: The current manager of the home is due to move to another position within the organization and a new person has been appointed. There is support from the senior management based on the same site as the home. Home Farm Trust has a quality assurance system which includes sampling individual’s care planning as well as internal yearly audits which result in action plans which can be made available on request. The move towards person centred planning and reviewing, as well as the key worker system in place underpins the ethos of the provider in looking at how services are performing at all times. There are regular managers’ meetings also. There is also a residents’ forum – Speak Out Group – which supports residents to comment on the organization. Home Farm Trust reviews its policies and procedures on an annual basis and the AQAA completed for this inspection indicates that these were last reviewed in September 2007. Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: The AssessNet tool is used to record risk assessments as well as recording accidents and incidents. The fire safety checks were properly recorded and a spot check on some of the maintenance and service checks showed them to be appropriate and up to date. There are relevant policies and procedures in place. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 37 9 The new manager to apply for registration To ensure compliance with legislation 27/02/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!