Care Home: 5 Beacon Gardens

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What the care home does well The service provides one to one support for the person using the service within a family environment. The person has lived as part of the family since an infant and has a very close relationship with the registered person and all family members. The person has been able to experience all aspects of belonging to a family and is included in all activities and family events. The person using the service has access to a wide variety of leisure and educational activities within the community, including going to college, doing voluntary work and is a keen photographer. Activities are carried out independently and he is able to use public transport. The person is aware of how to keep himself safe. The home has been maintained to a high standard and the registered person and the person who uses the service have decorated and furnished it to reflect their personal interests. There are many photographs of family and important people and events. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 What has improved since the last inspection? The registered person has ensured that important documents are available for inspection to demonstrate how the service is provided, and how the person using the service is safeguarded. What the care home could do better: The service provides a high standard of care and support for the person using the service, and there are no requirements or recommendations for improvements to the service. Key inspection report CARE HOME ADULTS 18-65 5 Beacon Gardens Beacon Street Lichfield Staffordshire WS13 7BQ Lead Inspector Mandy Brassington Key Announced Inspection 15th October 2009 10:30 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service 5 Beacon Gardens Address Beacon Street Lichfield Staffordshire WS13 7BQ 01543 264720 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) Mrs Margaret Jean Holton Provider in day to day control Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) 1 The maximum number of service users who can be accommodated is: 1 18th December 2008 Date of last inspection Brief Description of the Service: 5 Beacon Gardens is a family home situated in a cul-de-sac on the outskirts of Lichfield town centre. The cul-de-sac is found off a main road leading into Lichfield, and there is easy access to a large supermarket at the bottom of the road. Access to public transport is also very close by, with regular buses into Lichfield town and all of its amenities. The person living in this home has been with the family from the age of two and a half years. In that time he has been treated as a family member with the proprietor acting in loco parentis with the extended family as substitute aunts and uncles. The provider should be contacted for information about the fees charged at the service. No additional charges are made. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an announced key inspection and therefore covered the core standards. The inspection took place over 3 hours by one inspector who used the National Minimum Standards for Younger Adults as the basis for the inspection. Prior to the inspection, the registered person completed an Annual Quality Assurance Audit (AQAA) for us. There were questionnaires sent to the person who used the service, and professionals. We received one survey from the person who used the service. On the day of the inspection, the person using the service was at home with the registered person. We, the commission examined records, carried out observation of activities and talked to the person using the service and the registered person. One plan of care was examined and medical records. We looked at the persons bedroom and the lounge, kitchen and conservatory. We inspected the medication procedures. The quality rating for this service is three star excellent service. What the service does well: The service provides one to one support for the person using the service within a family environment. The person has lived as part of the family since an infant and has a very close relationship with the registered person and all family members. The person has been able to experience all aspects of belonging to a family and is included in all activities and family events. The person using the service has access to a wide variety of leisure and educational activities within the community, including going to college, doing voluntary work and is a keen photographer. Activities are carried out independently and he is able to use public transport. The person is aware of how to keep himself safe. The home has been maintained to a high standard and the registered person and the person who uses the service have decorated and furnished it to reflect their personal interests. There are many photographs of family and important people and events. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 6 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 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 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 2. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service lives as a family member in the home and knows how the registered person is able to provide support and care. EVIDENCE: The person using the service has lived in the home as part of the family since an infant, and the registered provider reported that an assessment was completed which was suitable at the time of admission. The registered person does not want any further admissions to the home, as it is a family home. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service contributes and updates his plan of care to ensure his is supported in a way which promotes his independence. EVIDENCE: The person using the service has a plan of care that details how he wants to be supported. Information is recorded about health needs, including a record of hospital visits and medical interventions. The plan of care and information is written in a manner that the person can understand and discussion with the person demonstrated he has full knowledge of the agreed plan. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 10 The registered person discussed in detail the support provided and the ongoing investigations to investigate health concerns. The person using the service is responsible for his own personal and health care and the registered person will discreetly supervise to ensure his well being. The placing authority visits the service and carries out an annual review with the person using the service and the registered person and a visit is planned the week of our visit. Discussion with the person who uses the service revealed he is aware of how to keep safe in the home and the community and can make decisions about what to do. The registered person spoke proudly of how he has developed and grown and is a responsible and caring adult. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 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. JUDGEMENT – we looked at outcomes for the following standard(s): This is what people staying in this care home experience: 12, 13, 15, 16, 17 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person who uses the service is able to choose how to live his life and what activities to be involved in. The person is able to benefit from living in a family home and have close personal relationships. EVIDENCE: The person using the service has a varied and active lifestyle and each week plans his activities with the registered person, and records any special tasks he wants to do. The person goes to college on a Monday and he stated that he enjoys using the library and developing his skills with his hobby of photography. He showed 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 12 us some of the pictures he had taken; many focus around the family and the local community. He reported he takes responsibility for having them developed. One day a week he works as a volunteer preparing tables and clearing away after lunch within the Methodist Centre. It was evident through discussion that he was proud of his work and his achievements and showed us a brochure, in which he is featured doing his work. He told us that he had previously been involved in working in a supermarket and enjoyed swimming and horse riding. Unfortunately on medical advice these had to be stopped, though he would like to continue with these if circumstances changed. He a bus pass and uses this to travel around, visit friends, go to college and go shopping. He told us that he has a mobile phone and regularly calls the registered person to inform her of where he is. Discussion with the person who uses the service revealed he was very knowledgeable about keeping himself safe in the community, including road safety and meeting and spending time with other people. Discussion with the person revealed that he is responsible for the planning, shopping and preparation of meals. He showed us photographs of meals he had cooked and said he like to cook. The person using the service has a lot of friends in the community and stated he enjoyed going out with people; he was planning a meal at the weekend to celebrate his birthday with family and friends. He is part of a close family and is able to enjoy the events and activities of family life and have relationships with all family members. There were many photographs showing all the events throughout his life depicting being part of a family. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service is able to receive support to maintain his health and well being and supported to attend all appointments to keep well. EVIDENCE: The registered person recorded that all health checks are carried our regularly. Specialist health intervention and health checks are currently being undertaken to investigation concerns. The registered person maintains a diary of all appointments and letters and the person who uses the service was fully aware of all details and all future planned appointments. Discussion with the person revealed he is able to keep well and is aware of risks associated with his health and takes suitable action to keep well. He is 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 14 aware of what constitutes a healthy balanced diet and strives to eat well to keep healthy. The person who uses the service is responsible for his personal care and independent in this area. He also manages his own medication, including visiting the pharmacy. He told us about the tablets he takes and when he should take them to keep well. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 15 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service can be confident that necessary measures are in place to safeguard him and protect him against the risk of abuse. EVIDENCE: The registered person reported within the AQAA that there had been no complaints, and we have not received any complaints or investigated any safeguarding issues about the service. Discussion with the person who uses the service revealed that he would talk to the registered person about any concern, or to family, friends or his advocate. The person lives as part of a family and it was evident that there was a close relationship, and he reported he would always say something if he was worried or unhappy. We talked to the person who uses the service about keeping safe. He was able to tell us how he kept safe in the home and community and what precautions he would take if he felt vulnerable. The registered person has a copy of the agreed safeguarding procedures and is knowledgeable about how to proceed if there are any safeguarding concerns. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 16 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 30. People using the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person is able to live as part of a family in a family home which is maintained to a high standard. EVIDENCE: The service is a family home, which is located in a residential area of Lichfield. It is a semi-detached property in a cul-de-sac and not distinguishable from other properties as a care home. All furnishings and fittings are of good quality and present a homely appearance. There is a comfortable lounge room, a spacious kitchen of domestic style and design, a conservatory area and toilet on the ground floor. On the first floor the person living at the home 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 17 has the use of two bedrooms, as he enjoys many hobbies and uses both rooms to store his belongings. The person using the service showed us his two bedrooms which contained a large collection of DVDs and personal equipment. The person was keen to show us all his certificates and awards he had achieved. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 18 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service has 1:1 support from the registered person in the home, which ensures that his needs are met. EVIDENCE: The service does not employ any staff and the registered person provides all care and support within the home. The registered person has worked in care throughout her adult life and became a foster carer over thirty years ago. The person who uses the service came to live with the registered person as an infant and the registered person was the foster carer. Although the registered person has not undertaken any training since our last visit, she demonstrated that she has kept her knowledge up to date and has a good insight into the care and support needed and associated medical and health concerns. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 19 The person who uses the service stated clearly that he was supported and cared for by the registered person and enjoyed living as part of the family. Throughout our visit it was clearly evident that the registered person and the person who uses the service have a very close relationship, and there was lots of jovial banter and jokes shared with each other. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 20 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The person using the service can be confident that the registered person manages the service in his best interests, and provides a family home. EVIDENCE: Prior to our visit the registered person completed an AQAA and wrote briefly about the service provided and any developments. The registered person was able to expand on this information during our visit to demonstrate how the service was managed. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 21 The registered person has over forty years experience in care and the person using the service has lived with her as part of the family since an infant. The registered person has not attended any formal training since our last visit, though stated that she keeps her skills and knowledge up to date by spending time with practitioners and researching any relevant issues. Discussion with the registered person and the person using the service demonstrated that the person is supported to live independently in the home and the community, has access to facilities and services, and can develop his hobbies and interests. The person using the service lives as part of the family and there is no formal quality assurance system in place. The placing authority reviews the service provided annually and the person using the service completed our survey and stated that he was happy with the service provided. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 22 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 3 3 X 4 X 5 X 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 4 25 4 26 4 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.3 Page 23 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 24 Care Quality Commission Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. 5 Beacon Gardens DS0000005074.V378089.R01.S.doc Version 5.3 Page 25 - 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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