Inspection on 05/01/06 for The Beeches

This inspection was carried out on 5th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 12/09/05

The Beeches 09/12/04

The Beeches 26/02/04

The Beeches 20/01/04

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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 Announced Inspection 5th January 2006 10:30 The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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 DS0000023478.V262901.R01.S.doc Version 5.1 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 DS0000023478.V262901.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Beeches Address 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) Lympne Place Aldington Road Lympne Hythe Kent CT21 4PA 01303 260453 Home Farm Trust Mr Clifford Andrew Neve Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 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 by Mr. 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 DS0000023478.V262901.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was undertaken on 5/01/06. The inspector met and spent time with the manager and spoke generally with staff on duty. Written information was also received on comment cards from service users and relatives. 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 DS0000023478.V262901.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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 the following standard(s): 5 The home has yet to implement a statement of terms and conditions of residence for each service user. EVIDENCE: A copy of a written and costed contract/statement of terms and conditions agreed between the home and service user was not evident. It was understood that this is being developed. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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 the following standard(s): 6-10 Service user plans identify the needs of the individual service users. Service users are enabled to make decisions affecting their daily lives. Risks are assessed positively and comprehensively EVIDENCE: The home has developed informative service user files. The needs of the individual are clearly identified as well as the actions required by staff to support clients. The files seen however were somewhat bulky and unwieldy and may benefit from review and rationalisation as the home moves forward with PCP. The introduction of Person centred planning has required the inclusion and involvement of service users to make it work. The stated intention is to emphasise choice as a matter of course in all issues relating to the support and care of the service users. There is a key worker system in place. Risk assessments are undertaken and recorded for all areas of risk relating to the environment, the house, day activities and external to the site. Action is identified to support service users in areas of greater need. The home maintains a staff level of three or four per shift plus the manager during the day in order to monitor and reduce risk and offer the opportunity for more activities. Issues relating to confidentiality are addressed during the induction period. All records may be stored in a lockable office with staff access The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 Page 9 according to need and pertinence to duties. There was no public display of confidential or personal information The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): 17 Service users are given the opportunity to take part in the planning, purchase and preparation of meals commensurate with their interest and ability. EVIDENCE: The inspector was informed that all the service users are offered three meals per day. One of the day activities includes the opportunity for choice to be expressed in the planning of menus and shopping for food and in the preparation of meals. The Inspector was informed that there are no specific cultural, religious or nutritional special dietary needs. A record of all meals provided is reportedly maintained and available for inspection. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): Assessed 30/08/05 EVIDENCE: The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): 22,23. The home has a clear complaints policy and staff receive training in the protection of vulnerable adults. EVIDENCE: Written information is made available to staff service users and their family/representatives prior to and following admission. It details the company complaints policy. Service users are also helped to understand how to make a complaint in information available to them in an alternative format. The local Adult Protection Committee protocol has been obtained and is available to staff. All staff have attended in-house adult protection awareness training. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): 24-30 The home is clean and bright and appears to be adequately maintained. The layout and décor of the communal and private spaces reflect the needs of the service users. EVIDENCE: The Beeches provides a spacious, comfortable and varied environment in which to live and work. There is adequate private and communal space for the service users and appropriate facilities for the staff. At the time of inspection the home appeared to be clean, tidy and free from undue odours. The manager confirmed that systems are in place to ensure regular safety and maintenance checks are undertaken. Each service user has their own bedroom that may be furnished and decorated according to individual taste, preference and need. Service users are assessed as to their desire and ability to manage a bedroom key. A number of changes/improvements have been instigated; The first floor bedrooms, bathroom and training kitchen have been redecorated and refurbished. The vacant ground floor bedrooms have been furnished to provide a staff sleep in area and computer room for the service users and a meeting / office for the Manager. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): Assessed 30/08/05 EVIDENCE: The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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): The home is well run in a manner that is inclusive, supportive and encourages the development of clients. There are regular quality assurance and safety checks to ensure that the home is run in the best interests of the clients and their safety and welfare is protected and promoted. EVIDENCE: The Manager appears to be an experienced and well informed individual who endeavours to ensure that service users are consulted as appropriate. It appeared from conversation with staff and from observation that the manager has established an approachable, open and supportive regime for staff and service users within a friendly relaxed atmosphere It was reported that a representative of the providers undertakes Regulation 26 visits at appropriate intervals. The site maintenance staff undertake weekly and monthly safety checks. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 3 3 3 3 3 x The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 Page 17 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 31/03/06 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 YA6 Good Practice Recommendations Service user files may benefit from rationalising into current and archive material for ease of use. The Beeches DS0000023478.V262901.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Kent and Medway Area Office 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 DS0000023478.V262901.R01.S.doc Version 5.1 Page 19 - 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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