Inspection on 22/08/08 for Beacon Farm Care Centre

This inspection was carried out on 22nd August 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beacon Farm Care Centre 27/02/08

Beacon Farm Care Centre 16/04/07

Beacon Farm Care Centre 26/06/06

Beacon Farm Care Centre 01/02/06

Beacon Farm Care Centre 27/07/05

Beacon Farm Care Centre 13/12/04

Beacon Farm Care Centre 17/06/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOMES FOR OLDER PEOPLE Beacon Farm Care Centre Beacon Lane Cramlington Northumberland NE23 8AZ Lead Inspector Suzanne McKean Key Unannounced Inspection 22nd August 2008 09:00 X10015.doc Version 1.40 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 Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 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 Older People. 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. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beacon Farm Care Centre Address Beacon Lane Cramlington Northumberland NE23 8AZ 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) 01670 - 715000 01670 590567 Beacon.Farm@fshc.co.uk Cotswold Spa Retirement Hotels Limited (wholly owned subsidiary of Four Seasons Healthcare Ltd) Manager post vacant Care Home 55 Category(ies) of Dementia (55) registration, with number of places Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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 category: 2. Dementia - Code DE, maximum number of places: 55 The maximum number of service users who can be accommodated is: 55 27th February 2008 Date of last inspection Brief Description of the Service: Beacon Farm Care Centre is set in its own grounds with a secure garden area, situated on the outskirts of Cramlington, with pleasant views over surrounding countryside. Entry to the home is via a country type road. It is within easy reach of local shops, public transport and other useful amenities including a popular garden centre. The home is registered to provide mental health nursing and social care to an older client group who have dementia. The fees charged by the home range between £376.00 and £460.00 plus the free nursing care component. But do not include the following; hairdressing, chiropody and toiletries. Residents pay for these in addition to the basic fee. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience Adequate quality outcomes. How the inspection was carried out:Before the visit: We looked at: • Information we have received since the last key inspection on 27th February 2008 and the random visit by our pharmacy advisor on 16th April 2008. • How the service dealt with any complaints & concerns since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service & their relatives, staff & other professionals. The Visit: An unannounced visit was made on 22nd August 2008 between the hours of nine in the morning and four o’clock in the afternoon. Our pharmacy advisor made a visit on 4th September 2008. During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met, Looked at other records which must be kept, Checked that staff had the knowledge, skills & training to meet the needs of the people they care for, Looked around the building/parts of the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. We told the manager and regional manager and registered person what we found. What the service does well: There is now a manger in post that has a good understanding o f the improvements that are necessary. Since his employment he has made Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 6 improvements to a number of the areas that were poor and he is clear about the additional steps he needs to make the further improvements. The home has a good system in place for accounting for personal allowances that are held for the residents. The home is generally clean and doesn’t have any unpleasant odours. Residents were walking around the home without restrictions or staff discouraging them from doing so. Residents are encouraged to bring personal items into the home. This provides a familiar and comfortable environment for them. The care staff were assisting the residents in a way, which was friendly and professional, and residents were reacting to the staff in a way that suggests that they were comfortable in their company. A relative described the staff as being “pleasant and helpful” and another said that they feel that the residents are all treated as individuals. What has improved since the last inspection? The last full key inspection identified fourteen requirements twelve of which have now been fully met. The remaining requirements have been met to the extent that they have been changed and new timescales given for them. There was an additional random inspection carried out by our pharmacy advisor in April when an additional two requirements were identified. One of these has been fully met and the other partially met. As this refers to staff training and there has been a change in the staff, with a number of new staff in post, additional time has been given to the home for them to fully meet this requirement. There is now a manager in post who is planning to pursue his application to be registered with the Commission for Social Care Inspection. He is experienced and has a good understanding of the improvements needed and the way he plans to achieve it. The care plans now contain assessments of the new residents needs to make sure that the home is able to establish that they can meet them before a place is offered. The care plans are written to address resident’s needs, and the system to make sure that the relatives are consulted about the care records has been put in place. Reviews of care plans are being organised and there is a structured review process. Care records are now dated and signed. The residents are now treated in ways that promote their lifestyle experiences and to uphold their dignity and choice, including their personal hygiene. The staff are being given training to give them greater understanding of their role, helping them understand the way to support residents in their right to form relationships. And supervision is being carried out to make sure that this Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 7 happens. Residents being supported to maintain a good dietary and fluid intake are having these care needs properly met. Medication systems within the home have improved since the last inspection. There are still some outstanding issues that require attention but the home has made progress on the requirements. The new manager, together with the recently recruited nurses, is committed to addressing outstanding medication issues. There is a good complaints policy and the procedures are now in place to make sure that any concerns or complaints are fully investigated with a full response of the findings given to the complainant. The lighting in the car park has been improved. The use of the ramp to the kitchen and dining area has been re-assessed with changes made to the use of these areas to maintain the safety and welfare of the residents and staff. The staffing arrangement in the kitchen has been reviewed and additional staff hours identified to ensure that the kitchen is adequately staffed at all times. 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 summary of this inspection report can be made available in other formats on request. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments of need carried out before offering a place allow the home to make decide if they can care for them, and the residents can be confident that their needs can be met. EVIDENCE: The company have a very detailed assessment tool, which is used by the home prior to a placement being offered. This document which supports the staff to carry out their assessments of the individual in their own setting or in the place they are receiving their care to make sure Beacon Farm Care Centre has the skills within their team and the facilities to meet the needs of the prospective resident. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 10 It is the home’s policy that the assessments, which are carried out by the social workers or the nurse assessor, are used by the home as part of the admission process. All care plans examined needed so that the care were in place they were that the staff know how way. of new residents had the information in them that was plans could be developed. Although the care plans not as yet as detailed as they need to be to make sure to care for them in a person centred and individual The home encourages prospective residents and/or their relatives to visit before admission is arranged. This is the policy of the home and the nurse in charge stated that they always make the offer for people to visit the home to see the place for themselves before making up their minds about coming to live there. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The records have improved but still do not fully show how the health and social care needs are being met. However, there good plans in place to improve the care planning process. The staff are give the care in a friendly and respectful. EVIDENCE: All residents have a care plan which includes an assessment and a plan of care. They are designed to show how the personal and health care needs of the residents are assessed, and what care is given to make sure that the needs are being met. The company documentation includes an extensive range of assessment tools and risk assessments to support the staff. However not all of these were being used effectively. Although the current information was satisfactory because the care plans have been poor in the past historic parts of the care plans did not Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 12 always have dates or signatures in place and were not detailed enough. Some of these assessments will need to be repeated to make sure that they are up to date and inform the staff of the most appropriate way to give the care. There have been improvements to the standard of the care plans since the last inspection. However, they are still not person centred and they do not effectively show the way the home provides specialist care to this client group particularly with regard to their dementia. There is now a new manager in post and there has been an increase in the number of nurses employed. The manager has started to put together a programme of audit and on interviewing the him and the senior staff there is a good understanding of the improvements that are needed and how they are to achieve them. Further training is planned, for which dates are available, the next being 17th September 2008, for completing the documentation, which should result in further improvements. Staff spoken to were knowledgeable about the care the residents need. Residents are supported to access NHS services and facilities as and when they need to. The care plans showed that specialist advisors are used for individual residents. The home liaises with the General Practitioners who provide care to the residents. Staff who were pleasant and courteous was giving the care and number of residents were enjoying the staffs company. Staff was seen being kind and polite with cheerful banter taking place throughout the day. Staff spoke to residents explaining what was about to happen and what they were going to do so that residents knew what to expect when being helped to move around the home. Relatives spoken to on the visit were satisfied with the care their relatives received and were happy with the care they were receiving and the amount of information they received. They were pleased with some of the recent changes although they missed some of the staff who had left. All residents have individual rooms that they can use if they need to discuss issues with family, friends or staff so that their privacy is safeguarded. There are plans to make improvements to the environment taking into account the dementia care needs of the residents and make it more appropriate. This had been started and should be developed further to give a more stimulating environment. More items are to be provided that the residents can interact with in a positive way and the staff are to be trained in ways they can encourage residents to participate in purposeful activities. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 13 Medication systems within the home have improved since the last inspection. The standard of record keeping has improved considerably and there were no gaps on the MAR charts. There were a small number of discrepancies between the quantities of medicine received, the number of doses recorded as being administered and the quantity of medicine remaining in stock. Failure to always record quantities of medication carried over from one month to the next, or received outside of the normal monthly cycle makes it difficult to confirm that medication has always been given as prescribed. Although the staff have received medication training additional training is required to make sure that all staff follow best practice guidance when handling medicines. There is some evidence of variable practice amongst staff e.g. use of not standard MAR codes, failure to identify potential out of stocks in advance etc. In addition a number of new nurses have been recruited and they need to be made familiar with the homes medication procedures Action is underway to enhance security of medicines within the treatment room. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are given plenty of opportunities to spend their leisure time actively and are well supported to maintain contact with their families and the local community. EVIDENCE: The home now employs an activities co-ordinator. She has experience in working in this area of care and with the client group. The staff, residents and relatives confirmed that activities are organised for the residents and these are now more regular so that the residents can enjoy a planned and sustained programme of activities. The records of this are individualised and show the activities that the resident is taking part in. This allows the activities coordinator to judge if the resident has found the activity a positive experience and therefore offer it again, or if it was not enjoyed an alternative could be sought. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 15 Relatives are encouraged to visit as often as they wish and during the inspection visits, there were a number of relatives and friends visiting their family members. There have been changed made to the way the care practices are organised and they are less “task orientated” and more flexible. Following a risk assessment the basement dining room is now being used for those residents who are able to safely negotiate the ramp. Some residents were using some tables at the top of this ramp and they were observed to be eating their meals in a pleasant and quiet atmosphere. Further improvements are needed as the areas were not set with tablecloths and napkins were not available, however cutlery and condiments were provided. Additional improvements must be made to the experience of eating, as it still not offered in a way that allows for individual residents to maximise their independence. They could be offered an experience which is a more positive and pleasant event in their day by looking a the timing of the meals and the way the tables are prepared and staff support them. Arrangements for assisting people with their food were improved and those staff assisting residents were taking time and were giving appropriate support. Staff assisted residents to change their clothing if they became stained during the meal. Staff were taking the opportunity to engage in constructive activities with residents or talk to them while going about the daily activities and staff were also sitting with the residents and talking to them in the lounge. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good policies and procedures in place to that make sure those complaints are dealt with efficiently and that residents are safeguarded from abuse. EVIDENCE: There are good policies and procedures available setting out how to make a complaint. The procedure is displayed in the home and the staff knew how to deal with any complaints that are raised with them. The relatives spoken to were aware of the complaints policy and said that they would know who to speak to if they had any concerns. Staff knew how they would deal with any complaints they received and how they would be managed by the senior staff. There have been no complaints made since the last inspection, however the manager has a good understanding of the way any would be managed should they be raised. There are policies and procedures in place for Adult Protection. The staff have received both in house and external training about how to deal with alleged abuse in the last twelve months and this training is ongoing, as not all staff have received it. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers accommodation that is generally clean and well maintained, but lacks specific premises design features to help people who are have dementia. While this promotes the general welfare, dignity and comfort of service users, it can create environmental barriers for people with specific needs. EVIDENCE: Access into and within the home is good and meets the needs of those service users who have mobility difficulties or have use of walking aids such Zimmer frames or wheelchairs. There are specialist bathing facilities to promote independent use by those who are capable of doing so. All the bedrooms and toilets have suitable lock on the doors to ensure privacy. This provides the Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 18 opportunity for service users to remain independent and to enjoy good levels of privacy. However, there is no loop system fitted in the lounge areas to help people with hearing difficulties hear the TV/radio or adequately hear visiting ministers/activities or residents meetings. The home caters specifically for people with a dementia but does not have specific design features that would give someone cues to find their way around or help them to maintain existing skills. This may create environmental barriers for people with these specific needs to make sense of their environment and could impact on their quality of life. This has been started but needs to be developed further as planned. There are sufficient numbers of communal areas for service users to choose from. These include a range of lounges, dining rooms, and communal spaces that service users can use. Window restrictors have been fixed to all windows and all radiators have suitable coverings, which ensure security and safety for the service users. Checks of hot water are carried out by the home and these show that hot water did not exceed 43°c. thus protecting the service from accidental injuries. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of suitably skilled, adequately trained, and competent staff employed to make sure that they can provide good care to the residents. Additional training is necessary to make sure that the staff are applying best practice. EVIDENCE: The home now maintains good staffing levels, which ensured that service care needs are met. Past rotas showed staffing levels were not being consistently maintained and shift periods when there were less staff on duty or staff had to work additional hours to cover absences. The staffing level at the time of arrival for the inspection was; • Manager • 2 Registered Nurses • 4 Care staff There were sufficient numbers of domestic and catering staff on duty to carry out the tasks necessary. There was also the activities co-ordinator although she was working as a carer in the morning to cover a late reported absence. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 20 The handyman / maintenance man was busy throughout the visit and staff were asking for his assistance to resolve day-to-day maintenance problems. Since the last inspection a number of new staff have been appointed. This includes a manager three qualified staff, the activities co-ordinator, a new cook and a number of care staff. Although initially this creates a period of instability it will be a positive change once the staff settle into their new roles, the home and become knowledgeable about the residents and the company policies and procedures. Relatives indicated that there had been a number of staff changes and one said that they missed some of the staff that had left but felt that “things generally had improved”. One felt that the staff were always kind and looked after their relative well. The home has a number of staff who have worked in the home for a long time. All of the staff have attained NVQ Level II or above with the exception of only two and these have been now accepted and enrolled to do the training. Staff spoke of the good training they have received and the benefits to them and the service users. Examination of the staff training record showed staff are now generally up to date with training in all of the areas necessary for the staff to be safe in their roles with the exception of the moving and assisting training, which is being addressed. Although there are some gaps in the other training programmes where there are extenuating circumstances for individual staff these are planned for. Specialist training for the particular client group is being organised and it is recommended that this be carried out as planned to make sure that the staff have the very specific skills they need. There is also good induction procedure for new staff into the workplace. There is good documentary evidence of induction training provided for all new staff. This makes sure that the registered persons can satisfy themselves that staff have received proper induction and have been assessed as competent to undertake their duties unsupervised. The records of the most recently appointed staff were examined. These contained evidence of good recruitment procedures being followed. This ensures that the service users are protected from possible abuse from people who would be deemed as not suitable to work with vulnerable people. Suitable references have been obtained and checks such enhanced CRB and ID checks have been carried out and were all in order. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The improved management systems are now working more effectively to protect service users and staff and to meet their needs. EVIDENCE: The home was without a registered manager for a period although there is now a new one in place. Mr Cranmer the new manager was able to be present during the inspection visit. He is already very clear about the improvements he planned to make in the home and has already achieved a number of these. He must apply to the Commission for Social Care Inspection to become the registered manager. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 22 The manager takes the necessary action to ensure the health and safety of the service users. This is supported by the policies and procedures and by discussion with the Manager and the staff. During the visit the relatives visiting were chatting in a very positive way with the staff. The manager is attempting to make him available for visitors and residents as much as possible, and was observed introducing himself to visitors. Formal supervision for care staff has started and a programme is in place to make sure it remains up to date. The personnel records kept in the home of residents who are receiving assistance to manage their finances are detailed, logical and appropriate. Receipts were in place for purchases made on behalf of residents and signatures of either two staff or one and the service user were in place. The personal allowance records examined allowed the audit of individual residents moneys to ensure that it is being managed effectively. The home is awaiting guidance to ensure that all residents’ money is kept in a way, which can make sure that they can accrue interest on their savings. The home have taken steps to limit the amount of money held by them and have sought alternative ways of achieving this depending upon the individual residents financial situations. There has been recent improvement in the system of quality control in the home. Each of the homes in the company are required to complete an extensive audit of a number of areas for example care plans, control of infection and medicines. This is being analysed centrally and an action plan developed to make the necessary improvements. All utility contracts were available and up to date. Accident recording and reporting is in place and the manager is completing monthly analysis. Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP7 Regulation 15 Requirement Resident care plans must be written in a person centred way to fully show how their mental health needs and how the staff will support them. Additional training in support of best practice guidelines must be provided to all staff involved in the handling and administration of medication. The risk of medication errors is reduced if appropriately trained staff are involved in giving medicines. The meal times must be reviewed to make sure that they are conducive to residents having a pleasant and positive experience. All of the staff must receive training in the safe moving and handling of residents to ensure the safety of all involved. Timescale for action 01/01/09 2. OP9 13(2) 18(1)(c) 01/01/09 3. OP15 16 (2) 01/01/09 4. OP27 13 (5) 01/01/09 Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 25 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 OP8 Good Practice Recommendations There are plans to enrich the environment of the home to give a more stimulating and appropriate living space for the residents taking into account their dementia care needs, this should be pursued. Further specialist dementia care training should be given to staff to give them the skills they need for the client group they are providing care for. The manager should take action to be registered with the Commission for Social Care Inspection. A system should be in place to record all medication kept in the home and carried over from the previous month. This helps to confirm that medication is being given as prescribed and assists in checking stock levels. The fridge should be locked when not in use. A maximum/ minimum thermometer should be used to monitor the fridge temperature to confirm that medicines are stored within the appropriate temperature range and so are safe to use. The fridge should be regularly defrosted. An adequate supply of oral syringes should be available on the medicines trolley to facilitate measuring small volumes of liquid medicines. Syringes for the administration of injections should not be used to measure or administer oral liquid medicines. 2. OP27 3. 4. OP31 OP9 5. OP9 6. OP9 Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © 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 Beacon Farm Care Centre DS0000000546.V370706.R01.S.doc Version 5.2 Page 27 - 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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