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Inspection on 24/05/10 for Beauvale Court Care Home

Also see our care home review for Beauvale Court Care Home for more information

This is the latest available inspection report for this service, carried out on 24th May 2010.

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

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Accidents are well recorded and the pattern of accidents is monitored and evaluated. However, although there are less people living at the home, the layout of the building is such that staff have to be constantly vigilant, they told us, "we don`t have anyone who is prone to falls at the moment, but we are aware of those who are at risk and I think it is possible to manage falls if you know the people living here." People who live at the service told us that they receive help if they need it and staff respond quickly to buzzers. We found that there are sufficient staff on duty to meet the current needs of people living at the service. People told us, "I only had to press the buzzer once, and that was by mistake, the staff came immediately." Another person told us, "I can`t grumble, the staff are kind and they come quickly if I need them. There seem to be enough staff." Staff we spoke with told us, "sometimes I would like there to be more staff, but I also like them to do the jobs they are meant to do. I personally don`t know how many staff we should have." We found that the providers are trying to provide adequate staff and management cover in spite of the uncertainty. This is not easy. Staff we spoke with told us, "the staff are still committed but it is difficult to boost the clients` morale as we are all uncertain about the future. In spite of that I am pretty proud of Beauvale`s care." People who live at the service told us, "I don`t mind living here and I certainly would not want to go anywhere else." Another told us, "I am fine here, honestly, I chose to come here and I have never regretted it. The staff are always courteous, I have always got on with them."

What the care home could do better:

We found that more attention is needed to ensure medication is given to people as prescribed by their Doctor. The staff we spoke with told us, "I take medication rounds very seriously, it is the most serious job in the building and I have to administer themproperly." People who live at the service told us they receive their tablets on time and they said the staff stay with them whilst they take these, though some people we spoke with could not remember what tablets they take and when. However, when we looked at the medication record we found that in some cases the staff are signing the Medication Administration Record (MAR) when they have not given the medication, in others they have given the medication but have not signed to indicate that this is the case. We left an immediate requirement about this issue and the service have responded to tell us the action they will take to ensure this situation does not reoccur. The staff we spoke with confirm that they have had a Criminal Records Bureau check and have provided two written references. We found some evidence that the current acting manager has been trying to audit files and there has been some progress on the outstanding requirement that all staff have two written references. However, in the staff files we looked at there are key documents missing, including in one the written references. These documents are necessary to ensure that people are suitable to work with vulnerable people.

Random inspection report Care homes for older people Name: Address: Beauvale Court Care Home Wellington Place Eastwood Nottingham NG16 3GD two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Linda Hirst Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Beauvale Court Care Home Wellington Place Eastwood Nottingham NG16 3GD 01773768183 01773913143 angelamcnally@nottscc.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nottinghamshire County Council Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 44 Number of places (if applicable): Under 65 Over 65 28 44 0 dementia old age, not falling within any other category physical disability Conditions of registration: 28 0 5 Out of the total number of beds (44), 5 may be used for PD 55 and over Out of the total number of beds (44), there will be 28 beds for DE 55 and over and/or DE(E) Service users shall be within category OP Date of last inspection Care Homes for Older People Page 2 of 8 Brief description of the care home Beauvale Court is owned and run by Nottinghamshire County Council and is a purposebuilt care home for up to 44 older people, though because it is scheduled for slow closure or sale, there is a self imposed limit of 22 places. Only seven permanent placements remain, though the service accepts people for respite care. The home is very close to the centre of Eastwood, which has a good range of services and facilities. The accommodation is over two floors with a vertical lift for those who may have difficulties with mobility. All of the bedrooms are single but there are no en-suite facilities. Fees: The fees for those residents supported by Social Services, is fixed following assessment by a social worker. Care Homes for Older People Page 3 of 8 What we found: We did this inspection as part of the work we have remaining under the Care Standards Act 2000 before we use the new Law, the Health and Social Care Act 2008 which will mean we work with services in different ways. This service was given a 2 star, good rating in 2007, and we have not received any information about the service through complaints, safeguarding or from other agencies such as the Local Authority or the Primary Care Trusts which gives us any cause for concern. However, since we did our last inspection we have been told that the service is undergoing a slow closure, and no permanent admissions can be made to the service, although people can be placed there for respite care. This has had an effect on the people living at the home, staff and the management of the service. The people living and working at the home face an uncertain future. As a result of the current situation, we have only made requirements which are essential to maintain the health, safety and wellbeing of people living at the service. In spite of all of the difficulties, people living at the service have told us that staff provide a good, reliable service and a high standard of customer care. What the care home does well: What they could do better: We found that more attention is needed to ensure medication is given to people as prescribed by their Doctor. The staff we spoke with told us, I take medication rounds very seriously, it is the most serious job in the building and I have to administer them Care Homes for Older People Page 4 of 8 properly. People who live at the service told us they receive their tablets on time and they said the staff stay with them whilst they take these, though some people we spoke with could not remember what tablets they take and when. However, when we looked at the medication record we found that in some cases the staff are signing the Medication Administration Record (MAR) when they have not given the medication, in others they have given the medication but have not signed to indicate that this is the case. We left an immediate requirement about this issue and the service have responded to tell us the action they will take to ensure this situation does not reoccur. The staff we spoke with confirm that they have had a Criminal Records Bureau check and have provided two written references. We found some evidence that the current acting manager has been trying to audit files and there has been some progress on the outstanding requirement that all staff have two written references. However, in the staff files we looked at there are key documents missing, including in one the written references. These documents are necessary to ensure that people are suitable to work with vulnerable people. 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 29 Regulation 19 All staff working at Beauvale 29/02/2008 Court, however long they have been in post, must have two written references in place as evidence that they are fit to work with vulnerable people. We will extend this requirement for a final time, but it must be complied with Care Homes for Older People Page 6 of 8 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, 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 29 19 There must be a full audit of staff files and missing information and documentation must be obtained unless there are valid, recorded reasons for the omission. To ensure the people working at the home are suitable to work with vulnerable people. 30/06/2010 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 Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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