Inspection on 27/07/05 for Beacon Farm Care Centre

This inspection was carried out on 27th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 26/06/06

Beacon Farm Care Centre 01/02/06

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 Unannounced 27 July 05 9:30 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 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 B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Beacon Farm Care Centre Address Beacon Lane Cramlington Northumberland NE23 8AZ 01670 715000 01670 590567 beacon.farm@fshc.co.uk Cotswold Spa Retirement Hotels Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Vacant CRH 55 Category(ies) of DE(E) Dementia - over 65 (55) registration, with number of places Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2004 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 it’s 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. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over a period of 7 hours on one day by two inspectors. The deputy manager was present for the inspection which allowed the examination of all records including those which were being stored securely in line with the homes policy on confidentiality. The Regional Manager also attended the home during the visit to discuss the issues raised and commence a plan to address them. Twelve residents were spoken to during the visit and three relatives and the inspectors also spoke to seven of the staff. The records examined included, five care plans and medication records, and the complaints and accident records. Both inspectors had lunch with the residents so that the food could be sampled and the experience of the dining rooms experienced. There were eight requirements made as a result of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The care plans must be improved to bring them up to date, and be reviewed monthly, dated and signed by the author. The changing health care and mental health care of residents was not reviewed and up dated and did not set out details of care for the complex needs of the residents. The daily entries in the residential unit contained language which was judgemental and did not take into account the mental health needs of the residents and how this might Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 6 effect their behaviour. The window restrictors were not adequate in some of the areas of the home to prevent residents either accidentally falling from them or using the window as an exit. This was the subject of an immediate requirement and the home completed the necessary work prior to the issuing of this report. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 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 standard(s) 3, 6 There is a comprehensive assessment undertaken by the staff prior to admission, which forms the basis for the development of the care plan. The home does not offer intermediate care. EVIDENCE: Six care plans were examined and each has pre-admission assessments, which were undertaken by the Manager or the senior staff in the home. The residents also have a care management assessment, which is provided, to the home on admission and from these documents an individual care plan is produced. The home is not registered for, and therefore does not provide, intermediate care. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 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 standard(s) 7, 8 The service users are having their needs met by the staff in the home, and the staff are generally aware of how to achieve this. However, it is not possible for this to be demonstrated through the documentation and care plans in place. The care plans must be improved to ensure that they are being used to plan and evaluate the care as well as showing the care being provided. EVIDENCE: The company have in place a comprehensive toolkit of care plan documentation and this was being used. The care plans cover health and social and personal care and a number of assessment tools are in use, however not all were up to date, reviewed monthly, dated or signed by the author. The changing health care and mental health care of residents was not reviewed and up dated and did not set out details of care for the complex needs of the residents. The daily entries in the residential unit contained language which was judgemental and did not take into account the mental health needs of the residents and how this might effect their behaviour. Personal care was given in privacy, and staff used residents preferred name during the inspection. The staff generally have an understanding of residents Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 10 individual needs and were observed to deal with some potential difficult behaviour issues in a professional sensitive manner. However, there were concerns about the way in which the residents in the residential unit were being assisted with daily activities and although staff were seen interacting with service users in a pleasant way the way in which individualised social and care programmes are delivered must be developed further to ensure that they take into account their individuality. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 11 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 standard(s) 15 The food being served is being prepared safely by knowledgeable staff and offers choice to the residents. The home offers the resident a balanced diet and there is sufficient quantity of both food and fluids to meet their needs. The residents were complementary about the food being served in the home. EVIDENCE: The kitchen was clean and well organised, the recording of food, fridge, and freezer temperatures were in place and completed appropriately. There was an ample supply of frozen, tinned, dried and fresh food available all of which was appropriately stored. The kitchen staff were aware of residents specialist needs including how to fortify foods for those who have poor appetites or those who have lost weight. The residents are offered a choice of three meals a day and residents on the day were seen eating heartily one asked said that the “food is really nice”. The meal being served was ample portion size, hot and well presented. Residents were offered assistance in a discreet manner. Residents were offered second helpings and alternatives to the main and dessert course were available. A variety of cold drinks were available throughout the meal and hot, cold drinks and biscuits were available throughout the day. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 12 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 standard(s) 18 None of these standards were fully examined during the inspection and will be judged at the time of the next inspection. EVIDENCE: Although these standards were not examined during this inspection discussion during the inspection confirmed that the training planned regarding the Protection of Vulnerable Adults has not yet been provided to all staff. This therefore remains a requirement. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 13 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 standard(s) 19, 20, 21, 23, 25 The service users live in a generally safe but shabby environment with a number of communal areas and access to the outdoor areas. The bedroom areas are personalised and comfortable but not safe as unfixed wardrobes present a possible risk. The window restrictors were in need of remedial work to ensure they were safe. The home is in need of action to improve the standards of cleanliness and hygiene. There is a need for replacement of some furnishings and fittings and redecoration is to an acceptable standard, including a number of carpets. EVIDENCE: The location and layout is suitable for the residents who live there. There are bathrooms, shower facilities and toilets near to all communal areas and residents bedrooms. Some of the carpets in the communal areas were heavily stained and require replacement. The staff confirmed that they are cleaned on a regular basis however the carpets are now some years old and are worn making them Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 14 difficult to clean. The corridor areas are have damaged wallpaper and decor which requires replacement. The residents have been encouraged and supported to bring personal items with them resulting in individualised rooms reflecting personal taste and previous lifestyles. There are a number of wardrobes which were not fixed to the walls and there are personal items stored on the top of the wardrobes. Several of the carpets in the bedrooms are worn and dirty and some rooms do have an odour problem, they are also requiring redecoration and upgrading. The window restrictors were not adequate in some of the areas of the home to prevent residents either accidentally falling from them or using the window as an exit. This was the subject of an immediate requirement and the home completed the necessary work prior to the issuing of this report. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 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. EVIDENCE: The staffing rotas showed that the Deputy Manager/Owner is staffing at levels in line with the proposed levels as submitted to the CSCI in February 2005. The acting manager has some hours in addition to the staffing numbers although she undertakes shifts within the rota as necessary. It was noted that when sickness and staff holidays occur these occasions are usually covered by home staff although use of agency staff can be arranged with permission of the Regional Manager. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35, 38 There is a Deputy Manager in place who is currently acting as the Manager subject to the recruitment of a permanent replacement. Recent problems have arisen in the home due to the management changes and a period when there was some uncertainty. Some aspects relating to the health and safety and welfare issues of residents and staff are not adequately promoted and protected. Personal allowance management is good and the systems and records are in place to allow audit to be effective. EVIDENCE: 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 Acting Manager is working in line with these. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 17 There is a system in place to review health and safety in the home involving the staff for which records are available, however there were wardrobes which were not being secured to the wall and the window restrictors were not adequate. This presented a potential risk to residents and an immediate requirement was made for it to be risk assessed and appropriate action taken, which was completed within the time scale. The personal 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. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 x 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 2 3 x 3 x 2 x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 2 2 x x x 3 x x 2 Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 19 Yes Are there any outstanding requirements from the last inspection? 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. 2. 3. Standard 2 18 19 Regulation 5 (b) (c) 13 (6) 23 (2) (d) Requirement The statement of terms and conditions must be reintroduced. The Manager must provide Protection of Vulnerable Adult training for the staff as planned. The redecoration programme must be continued and completed as planned. This must include the corridor areas and the bedrooms. Replacement of furniture must be undertaken as necessary. To include service users bedroom chairs communal area chairs and bedroom furniture as necessary. The indiviual care plans must be brought up to standard and include evidence of detailed care planning and regular comprehensive review. The care must be provided and documented in a manner which respects the privacy and dignity of service users. The home must ensure the safety within the home by undertaking health and safety risk assessments including undecured wardrobes and taking appropriate action as necessary Timescale for action 01.11.05 01.12.05 01.12.05 4. 20 16 (2) (c) 01.12.05 5. 7 15 (1) (2) 01.11.05 6. 10 12 01.11.05 7. 25, 38 13 (4) 01.10.05 Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 20 8. 31 8 The Proprietor must appoint an individual to Manage the care home. 01.10.05 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 28 Good Practice Recommendations The home should continue to take action to ensure that 50 of the care staff working in the home has a NVQ level 2 or equivalent. Beacon Farm Care Centre B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 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 B53-B03 S546 Beacon Farm Care Centre V221815 270705 Stage 4.doc Version 1.20 Page 22 - 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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