Inspection on 26/06/06 for Beacon Farm Care Centre

This inspection was carried out on 26th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beacon Farm Care Centre 22/08/08

Beacon Farm Care Centre 27/02/08

Beacon Farm Care Centre 16/04/07

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beacon Farm Care Centre Beacon Lane Cramlington Northumberland NE23 8AZ Lead Inspector Suzanne McKean Key Unannounced Inspection 26th June 2006 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.V294758.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.V294758.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) Mrs Judith Brown Care Home 55 Category(ies) of Dementia - over 65 years of age (55) registration, with number of places Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 11 residents receive Personal Care 43 residents receive Nursing Care The home is able to provide 2 places to named residents under the age of 65, should either of these residents leave the home the CSCI must be notified 1st February 2006 Date of last inspection Brief Description of the Service: Beacon Farm Care Centre is a purpose-built care home of traditional brick build and tiled roof construction, it is set in its own grounds with a secure garden area on the outskirts of Cramlington with pleasant views over surrounding countryside. It is accessed 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, within the category of Dementia. The fees charged by the home range between £376.00 and £460.00 plus the free nursing care component. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two visits totalling eight hours by two inspectors Suzanne McKean and Aileen Beatty. All core standards were examined during the inspections either during the visit or using information collected since the last inspection. Twelve residents and three staff were spoken to, and others chatted to briefly. Two relatives were spoken to directly. Four care plans and records for medication were examined. Staff files, training records and health and safety documentation were looked at. Eight requirements and one recommendation were made at the last full inspection. Five of the requirements remain outstanding although significant work has been done to meet them and they have been changed to reflect this. Three additional requirements have been identified. What the service does well: What has improved since the last inspection? What they could do better: The home must put into place care plans which detail the actions needed to ensure all health, personal and social care needs are met. These must also emphasise actions needed in relation to dementia care. The manager must further develop ways of giving residents more choice in their day-to-day life experiences. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 6 The replacement of furniture must be undertaken as necessary this is planned and includes service users bedroom chairs, communal area chairs and bedroom furniture as necessary. Moving and handling and fire training must be provided in line with the guidance, as it is now due. All staff must receive documented supervision at least six times per year. The manager must ensure that the staff are adequately trained including at least 50 having NVQ level 2. 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. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 7 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.V294758.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. 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 evidence gathered both during and before the visit to this service. Information is collected prior to admission of any resident to ensure that the home is able to meet their needs. The home does not provide intermediate care. EVIDENCE: The four care plans had pre admission assessments undertaken by the staff. They also contained assessments done by Social Services, which together contained the information needed to assess the appropriateness of the home to meet the needs of the potential resident. The home takes the information for their assessment from a variety of sources usually including the resident and relatives or carers. Others sources of information were professionals involved in the care of the resident for example psychiatrists, psychologists and physiotherapists. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. 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 evidence gathered both during and before the visit to this service. The service users are having their needs met by the staff in the home, and the staff are aware of how to achieve this in a way which takes into account their right to privacy. The care plans have improved and can now be used to plan and evaluate the care being provided. However, further improvements are needed. The residents receive their prescribed medication in line with safe working practices. The medicines in the home are well managed and safely disposed of as necessary. EVIDENCE: Care Plans for 4 residents were examined. Care plans have improved in some areas since the last inspection. Physical assessments such as moving and handling needs, nutritional needs, pressure sore risk, and general physical assessments such as weight, blood pressure and pulse have been completed regularly where necessary. Care plans have been developed using information Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 10 from these assessments, including preventative care plans e.g. if a risk of developing a pressure sore was identified. Beacon Farm is a specialist service providing care for people with dementia. Most psychological care plans do not reflect current best practice in dementia care, and strongly advocate the use of reality orientation. For example, a number of care plans say “orientate to time and place throughout the day” One prescribes that staff tell the resident at each intervention, what day, month and year it is, and that they are in Beacon Farm Care centre. This is an outdated model in dementia care and can cause distress and anxiety. This was raised with nurses at a previous inspection, who agreed that they should review psychological care plans to ensure they demonstrate current best practice. Information was provided which guides staff in how they can observe for signs of “well being” and “ill being” in residents. This is a very beneficial tool as many people with dementia are unable to tell staff how they feel. It also helps managers to assess the overall quality of the care provided. There is no evidence that there has been any improvement in this area or additional training or information sourced. Some standardised care plans have been introduced, which describe the care that should be provided in the type of situation that may be common to many people in the home. The same care plan is being used for a number of people in the home with the name changed. This can be beneficial in that it there is consistency in the overall standard of care plans. However, these care plans are not person centred which means they don’t contain the type of detail that makes the plan personal and tailored to the residents unique and individual needs or wishes. It also appears to have lead to an increase in the numbers of care plans for each person. A number of those examined were repeating similar instructions and could possibly be combined. If standardised care plans are going to be used, it is recommended that there is consideration to how these can be further developed, to include some specific personal detail. If they are to be replicated, they should also be of a very high standard, with more detail than there is currently. Some mental health care plans lack detail. For example, where they say, “observe for signs of depression” they should describe what these signs might be. Advice and support has been sought from a psychologist, particularly to assist staff to deal with challenging behaviour. Some negative language is used when describing symptoms and behaviour at times. Staff have used the terms “manipulative” and “attention seeking” when describing behaviour. This is judgemental and implies that the behaviours are within the person’s control. It is also common to describe occasions where people attempt to leave the building as “absconding”. This is not unique to Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 11 Beacon Farm, but in other settings this term has been reviewed due to negative connotations such as implied imprisonment. It is recommended that some training takes place into use of language to describe behaviour, to ensure it is positive and sensitive. Personal care was given in privacy, and staff used residents preferred name during the inspection. The staff generally have an understanding of residents individual needs and were observed to deal with some potential difficult behaviour issues in a professional sensitive manner. An example of good practice seen was a carer walking with a resident to their room on them needing their clothing changes and saying “help me pick out some nice trousers for you to wear” this was a nice way of including the resident and did not bring attention to their need to be changed. The home has policies and procedures in place to ensure the safe administration of medicines. The treatment room was clean and well organised. There was no over stocking of medication and minimum controlled drugs in use. A random check of the Medicine Administration Records and the Controlled Drugs found no discrepancies. The home has sight of the prescriptions and record all medicines received and disposed of with dates and signatures of staff and the pharmacist. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using evidence gathered both during and before the visit to this service. A range of activities are available to meet the cultural, social, religious and recreational needs and residents are helped to exercise choice and control over their lives, but this could be assisted further. Service users maintain contact with family and friends and the local community as desired. Residents are being provided with a good range and quality of food in a pleasant environment. EVIDENCE: The social care plans are being further developed. At present they are also mainly a standard style, usually stating that residents are at risk of social isolation due to dementia. The prescribed care is to include residents in any activities in the home. New social history sheets are being completed and these will allow staff to include the persons past interests, likes, dislikes and hobbies in the new social care plans. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 13 An activity plan is available. A detailed checklist called the “Pool Activity Level (PAL)” is used to help to determine the activity level of residents. There are 4 main levels described in the tool that people participate in activities at. These are at a planned, exploratory, sensory and reflex levels. It is a useful aid to developing suitable activities that are then delivered in an appropriate way at an appropriate pace. This is an example of good practice. The activity coordinator keeps a record of all activities carried out with individual residents. This contains the date, the activity, how the person responded to the activity (AP = active participation, O = observed, PP = passive participation, R = refused to participate). The sensory room remains in use. There are plans to introduce some drawers containing items of interest that can be rummaged through and explored by people in the room. This will broaden the uses of the room, and may appeal to more residents than simply sitting. It is recommended that social care planning, activity planning and evaluations and the involvement of the activities coordinator are integrated, as they seem quite separate at present. It is recommended that a copy of the PAL checklist for each resident is held in their care file. Nurses evaluating social care plans must review the written records of activities carried out and write a summary of these. Currently care plans state “ encourage to be involved in all activities in the home” `and evaluations tend to say “ all care given as per plan”, which does not give a true picture of what is actually happening in the home. The residents are being provided with an adequate standards of nutrition, there is a choice of main course and pudding / deserts for the main meal which is served as the midday meal. The food being served on the day of the first visit looked appetising and the resident enjoyed it. It is suggested that the manager look at ways of ensuring the residents are able to make choices by giving visual prompts e.g. photographs of the meals available or actually showing them the meals available, it is acknowledged that there is an issue to be resolved around unacceptable amounts of waste but this can be resolved through quality audits. The dining area has been improved since the last inspection and there are plans to further improve it by changing the furniture and improving the decoration with appropriate fittings and ornaments. Also it is suggested that some consideration be made to residents being able to have more independence in relation to serving themselves e.g. teapots. Although this would have to be done on a risk assessed basis and may not be appropriate for all of the residents it could be selectively promoted for some. The kitchen was well organised, clean and the records were in place to ensure that it is being managed in line with good practice and statutory guidelines. The ceiling is in need of repainting and is planned as part of the maintenance programme. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. 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 evidence gathered both during and before the visit to this service. Residents and relatives are informed of the complaints policy, which is available in a variety of places. The system for managing complaints makes it possible for them to be investigated and action taken as necessary. The residents are protected by staff being given Protection of Vulnerable Adults training and being aware of the whistle blowing policy EVIDENCE: The company has a complaint policy which is available in a number of places in the home, the relatives spoken to were aware of this policy. The staff are given copies of the whistle blowing and complaint policy on induction. The records of the complaints were examined one complaint has been received since the last inspection which was partially upheld and the necessary action to respond to this had been taken. The record of meetings, which have been undertaken with relatives and staff, were examined and although the attendance was not high in the relatives meetings they showed the homes intention to maintain communication pathways. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 15 All qualified nurses have now had training in Protection of Vulnerable Adults. Remaining staff are currently receiving training and most have completed it. There have two been protection of vulnerable adults referrals, one of which has been completed. There is one ongoing for which an outcome is not yet available. Another Manager from the company has supported the manager in this process; the regional manager and the Responsible Individual for the company have also been involved in the process. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is adequate good. This judgement has been made using evidence gathered both during and before the visit to this service. The home is now well decorated and is safe for the residents to live in. It is being maintained in a satisfactory way. The bedrooms are all single occupancy and are decorated and equipped in a homely and personalised way. Toilet and bathroom areas are appropriate. The home is clean and was odour free. EVIDENCE: A tour of the home was conducted both with staff and by the inspector on their own to assess the general condition of the home. It is tidy and organised in such a way to make sure that the residents are able to use the home safely. The home is clean and was odour free on the day. The residents’ bedrooms were personalised reflecting individual choices and preferences and three residents asked about their bedrooms said they were happy with the decoration and that they were kept clean by the staff. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 17 The home has continued to improve since the last inspection when a number of areas had been decorated. There is further redecoration needed, but the majority is now complete. The replacement of furniture is well underway and is being managed well by Mrs Brown, the Manager. New dining and lounge chairs and dining tables were delivered during the inspection, and are domestic in style and match the new décor well. Residents spoken to said they liked the new chairs and that they are comfortable. There are suitable toilets and bathrooms, which are well equipped and nicely decorated. The necessary specialist equipment is provided in the home and when required appropriate professionals are brought in to offer advice and assess residents needs e.g. Physiotherapist. The Kirton (cube shaped chairs) are damaged, and must be replaced with suitable seating to meet the needs of the residents currently using them. The windows to the side of the ramp, and in the dining area have damaged double glazing seals. There is condensation between the panes. The manager agreed that these must be repaired or replaced and is going to request that this work is carried out. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is poor. This judgement has been made using evidence gathered both during and before the visit to this service. The home is staffed with numbers of staff in line with the proposal made to the Commission of Social Care Inspection and there are qualified nurses on duty in sufficient numbers to meet the needs of the residents. The staff recruitment procedures protect residents and training is now being provided in both statutory and clinical areas. However the fire training and moving and handling training is now overdue and must be undertaken as a matter of urgency. EVIDENCE: Some statutory training is not up to date. Fire and moving and handling training needs to be arranged although some staff have already attended this. A system is being developed to highlight which certificates are about to expire. POVA (Protection of Vulnerable adults) training and restraint training has been provided in May 2006. The manager reported that this training was well received and has noticed staff questioning their own practices in relation to these issues. The manager has been delivering dementia training. Rather than concentrating solely on the clinical aspects of different types of dementia, published experiences of people who have the illness are being used. This helps staff to Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 19 understand how residents feel, and what they may have been through since diagnosis. Staff reported that this was thought provoking and moving. Four Seasons have developed a training pack for care staff relating to care of the dying, and how to care for people as they approach the end of their lives. There are plans to deliver this to care staff when statutory training is up to date. Over 40 of care staff have NVQ level 2 or above this has reduced from 50 as two staff have now left who had been supported to complete the training. There are staff registered to undertake the training, which will bring the numbers back to the required level. It is recommended that qualified nurses attend refresher training in dementia care. This will enhance the standard of care plans and ensure that the most up to date techniques are being used to care for people. Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 Quality in this outcome area is adequate. This judgement has been made using evidence gathered both during and before the visit to this service. The Manager has completed the fit person process and is the Registered manager. She is beginning to develop audit processes to ensure that the home is run in the best interest of the residents but needs to further develop practices to develop ways of giving residents more choice in their day-to-day life experiences. Service users financial interests are safeguarded. EVIDENCE: The manager is continuing to arrange resident and relative meetings although these not always well attended. The record of the last one arranged suggested that the contents of the meeting are varied, and discussion is encouraged on how the home is run. The manager has displayed a notice to say that she is Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 21 always available one day a week, for two hours in the afternoon. A notice also invites relatives to ask to see her at any time. The company has policies and procedures in place to ensure that the home is managed effectively taking into account the needs and wishes of the residents and there is evidence that the Manager is working in line with these. Records were examined of the staff meetings, which take place regularly, and the contents of these suggest that there is a broad spectrum of relevant issues discussed. Regular resident reviews are arranged either by the Social Services departments or by the home and these offer the opportunity to seek the resident and relative views of the home and care provided. A rolling programme of supervision is in place, and the manager is trying to bring everyone’s supervision up to date. A sample of the format used and the recorded contents showed that it is an effective and detailed document. The programme to ensure that all staff have supervision at least six times per year is in place and must be carried out as planned. A sample of resident financial records were examined and they were satisfactory. The records for purchases made on behalf of residents had receipts and were signed by either the resident/relative and a member of staff or two staff. The records are checked regularly to ensure they are being kept in line with company policy. Where a resident has a significant amount of money a bank account is being opened for them or a Social Worker is being involved to look at the best way of managing the situation. Moving and handling and fire training was carried out in November with updates for most staff in February 2006. All staff are now therefore due to have their next training and Mrs Brown is organising it in line with statutory and company guidance. Staff have completed their food handling and hygiene training. (see standard 30 for requirement re training) Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 22 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 3 Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 The home must put into place care plans with detail of the action needed to ensure all health, personal and social care needs are met with particular emphasis on the specialist needs of people with dementia. Outstanding The manager must further develop ways of giving residents more choice in their day-to-day life experiences. Outstanding Replacement of furniture must be undertaken as necessary. To include service users bedroom chairs, communal area chairs and other bedroom furniture as necessary. Outstanding A minimum of 50 of care staff must have NVQ level 2 training. Moving and handling and fire training must be provided in line with current guidance. Outstanding All staff must receive documented supervision at least six times per year. A programme must be devised and DS0000000546.V294758.R01.S.doc Timescale for action 01/10/06 2. OP14 16 (2) (m) (n)16 (3) 16 (2) (c) 01/08/06 3. OP19 01/10/06 4. 5. OP28 OP30 18 13 (5) 01/01/07 01/09/06 6. OP36 18 (2) 01/09/06 Beacon Farm Care Centre Version 5.2 Page 24 commenced. 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. 2. Refer to Standard OP12 OP12 Good Practice Recommendations It is recommended that the garden area be developed as discussed to offer additional stimulation for the residents. It is recommended that social care planning, activity planning and evaluations and the involvement of the activities coordinator are integrated and developed further as identified in this report. It is recommended that qualified nurses attend refresher training in dementia care. 3. OP30 Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beacon Farm Care Centre DS0000000546.V294758.R01.S.doc Version 5.2 Page 26 - 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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