Random inspection report
Care homes for older people
Name: Address: The Beeches Care Home The Beeches 25 Park Road Coppull Chorley Lancashire PR7 5AH 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: Anthony Cliffe Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: The Beeches Care Home The Beeches 25 Park Road Coppull Chorley Lancashire PR7 5AH 01257792687 01257470067 manager.beeches@m-a.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Mohammed Hussain,Mrs Anwar Hussain,Mr Naveed Hussain Name of registered manager (if applicable) Miss Krystyna Kolodziejewski Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Conditions of registration: The registered person may provide the following category of service only: Care home with nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, Dementia - Code DE. The maximum number of service users who can be accommodated is: 34. Date of last inspection
Care Homes for Older People Page 2 of 10 care home 34 Over 65 34 34 0 0 Brief description of the care home The Beeches nursing home is situated in Coppull, approximately two miles from Chorley town centre. It is located off the main road in three acres of land with gardens to the front and rear. The home can be accessed by a regular bus service. The home is registered to provide accommodation for up to 34 older people living with dementia who need personal or nursing care. The Beeches has both single and shared private accommodation available on two floors; the upper floor being accessed by a passenger lift or stair case. All bedrooms have wash hand basins and there are 16 rooms with an en-suite facilities. A variety of communal areas are available throughout, where people living at the home are able to entertain their visitors, eat their meals, join in activities or just simply relax. The Beeches promotes a flexible, friendly environment, so that people are able to entertain their visitors or take their meals within the privacy of their own accommodation, should they so wish. Information about the service and facilities available and range of fees for these can be obtained by contacting the manager. Care Homes for Older People Page 3 of 10 What we found:
This random visit took place on the 18th May 2010 and lasted five hours. One inspector carried out the visit. We did this random visit which is a short focused visit to check compliance against The Care Standards Act 2000 and Care Homes Regulations 2001 to see if our judgement about the service made at the last key inspection is still correct. This helps us determine if the management of the home see the service they provide in the same way we do and if our judgements are consistent with home owners or managers. In the last year we have completed an annual service review which which told us the home was still providing a good service. An annual service review is a summary of our knowledge about how a service that has not had a visit in the last year is still performing. It is also how we decide if a service is still as good as we thought it was since out last visit or annual service review. During the visit various records were looked at as well as the premises. We spoke to people living at the home and staff and they gave us their views about living and working there. At this visit we focused on the standards for health and personal care and complaints and protection. We looked at information gathered about the health needs of people living at the home to see how this was used to plan and provide the right care and support for people so their health was promoted and they received the right health care. We saw that information gathered about the needs of people that lived there was transferred into care or support plans. We could see that the home used a person centred approach but not person centred planning. We could not see how people were included in their care or support due to living with dementia but the home had gathered a lot of personal information about their lifestyle and personal and family history plans so staff had information on which to provide individual care so their care is based around their needs and choices. However we did not see this information transferred into care or support plans so care plans were not individualised to peoples needs and choices. Person centred planning is a really good way for people that use services to take control of their lives. Person centred thinking helps staff that care and support people that use services to listen to them and then to get what they want. A person centred plan contains information on what is positive about people that use services for example what people like and admire about them and their gifts and talents. Information should be included about what and who is important to people that use services from their viewpoint, as well as what people want for their future. A person centred plan should have information about how people that use services want to be supported, so stay healthy, safe and well. This is called a support plan but may be called a care plan. This should be detailed enough to provide a living description of how people that use services want to be supported, how they make decisions and says who will do what by when. The care or support plans we saw were not individualised to people using the service and included little information about their personal routines and choices about personal care or if they could help themselves. The care plans we saw said where people needed care
Care Homes for Older People Page 4 of 10 and support but did not tell us how people wanted their care to be arranged and how staff would provide support or care to help them to care for themselves or if care was arranged or planned around their daily routines. So care based on their personal preferences was not necessarily provided. We saw information in care and support plans that guided staff about the health needs of people and gave staff about the best way to support people who had difficulties with their memory and understanding that people were trying to help them. We saw that the guidance for staff was not individualised but showed that people were respected as individuals and guides staff to treat them as such. The home provides care for people living with dementia. We saw that people living with dementia were seen by the mental health services as well as having other health conditions requiring treatment cared for by their doctors. We saw that the home contacted the local doctors for advice and guidance and that people had their health checked when necessary. Surveys returned to us by people living at the home before the visits said they always received the health care support they needed. Reviews of care were very good and told us people living at the home received the care and support they needed and was planned around their changing needs. In our surveys we ask people living at the home or their relatives what they think the home does well or can be improved upon. Comments we received were, The home is well run, very efficient and very well organised. various activities are organised by the staff for the patients. The staff at the Beeches are very caring with the patients and very helpful and considerate with relatives of patients, Friendly and helpful , Looks after all its residents in a professional caring and friendly way. Keeps dignity of residents at all times, keeps relatives up to date with care changes, seeking opinions and views before implementation. Each resident is an individual and treated as such. Staff are approachable and friendly. I have nothing but praise for the help and support received by both my father and ourselves as a family since dad became a resident at the Beeches. There is always a warm welcome for relatives, which adds to the happy caring atmosphere and In my opinion the home is well run under challenging circumstances, it is well maintained and generally well staffed. We saw that staff treated people that use services with courtesy, dignity and respect and sought their views about how they wanted to be supported by asking them questions and saw staff help them make decisions. We saw that a care plans referred to how a people lacked capacity to make decisions due to living with dementia and were viewed to have difficulty in making decisions about important things to them. We did not see information that told us where the person could make their own decisions, so staff would understand and know when the person needed help with decision making and showed who helped the person in the decision making process so we could see who would be the best person to make decisions on their behalf if necessary and showed how the person would continue to be involved in influencing decisions so would have choice and control over their lives. Medication policies were detailed so staff had guidance on how to receive, store, administer, record and dispose of medicines safely. The home had a storage area for the safekeeping of medicines. The storage area contained the policies and procedures for medicine administration with specimen signatures for the staff responsible for the management and administration of medicines so staff were aware of their responsibility and accountability for managing and administering medicines. Storage included controlled drugs storage. We looked at how controlled drugs were received, recorded, stored and administered and found them to be managed safely so the policies and procedures of the
Care Homes for Older People Page 5 of 10 home were followed. People that use services were unable to manage their own medicines due to their memory problems so medicines were managed for them. During the visit we saw the complaints policy was available to people using the service and displayed for people using the service to see so they had access to it. We had not received any complaints about the home since our last visit and the home told us they had received six complaints. Before the visit people living at the home returned surveys to us and said they knew who to speak to if they were unhappy and how to make a complaint. The records for complaints recorded six complaint were received but two of theses were incidents that had happened and not complaints. Complainants received an acknowledgement of their complaint from the manager who had fully investigated the complaint. The complaints had been agreed as valid and the manager ensured the complainants received an apology or in the case of a complaint were clothing was not properly laundered a replacement so complaints were satisfactorily dealt with. Policies and procedures were in place to protect vulnerable adults called the safeguarding adults procedures. The safeguarding adults procedure is how we, the local council, police and other agencies respond to and manage allegations or suspicions of abuse against vulnerable adults. We saw training records for the home and all staff had received safeguarding training in 2009. The home had a copy of the Lancashire County Council safeguarding adults procedure. We spoke with three staff about the safeguarding adults procedure in the home and were able to say how this would be used should allegtaions of abuse or neglect be made so could protect people from further distress. We spoke with people about the personal and health care support they received while living at The Beeches and a person said about living there, I have arthritis in my knees and hips and am in pain but not all the time. They ask me when I need it as they see me in pain, as I forget to ask. I get on with the other people here they are all lovely. What the care home does well:
People that use services live in a welcoming and comfortable homelike care home, which has been improved to offer people more opportunity to maintain their independence, health and personal care. The owner had had an aviary built and is planning to have raised flower beds and vegetable patches built so people can grow their own produce. People that live at the home made positive comments about living at the Beeches and said I have arthritis in my knees and hips and am in pain but not all the time. They ask me when I need it as they see me in pain, as I forget to ask. I get on with the other people here they are all lovely. The personal care and health needs of people that use services are met to a good standard so they are supported to maintain their personal appearance and hygiene. Complaints are listened to and taken seriously so prompt action is taken to rectify mistakes or unacceptable practise so people living at the home are protected by the complaints and safeguarding procedures in place. The home provides staff with a training programme so staff were provided with training
Care Homes for Older People Page 6 of 10 and support to do their jobs. There is a stable staff group who have positive attitudes to the people that live there so staff treat people with dignity and respect. Appropriate staffing levels are provided so people that use services were supported around their needs. 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 2. Care Homes for Older People Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 10 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 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 1 7 Care or support plans should reflect the personal routines, choices and decisions of people about their care. So staff can provide care based on their routines and choices. The home should should improve how decisions about daily living made by people that use services are reflected in their care plans so staff and others involved in their care understand how important peoples daily decisions about their lives and decisions about their future are to them so the agreements about how they make or are supported to make decisions are clearly understood. 2 7 Care Homes for Older People Page 9 of 10 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
