Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Beacon House Nursing Home 184 Beaconsfield Road Southall Middlesex UB1 1EA The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Middleton Date: 0 3 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Beacon House Nursing Home 184 Beaconsfield Road Southall Middlesex UB1 1EA 02088138713 02085742549 vimala@beaconcare.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mr Gurpal Singh Gill care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability 0 19 Over 65 19 0 Conditions of registration: The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD The maximum number of service users who can be accommodated is: 19 Date of last inspection Brief description of the care home Beacon House is a Nursing Home for 19 people situated in Southall West London. The Home is a purpose built Tudor style building on three floors. There are eleven single bedrooms and 4 double bedrooms. There is one lounge, a conservatory and a dining room on the ground floor. A lift is available. There is an enclosed garden at the rear of the home, which can be accessed via the conservatory. The home is located within walking distance of Southall. Public transport is available nearby in the form of buses Care Homes for Older People
Page 2 of 9 and the railway station. The home currently has a Manager, Nurses, carers, housekeepers and a cook. The home will also have access to a Physiotherapist in the near future. Care Homes for Older People Page 3 of 9 What we found:
The home was rated a 3 star service following the last key inspection visit carried out on the 3rd October 2006. This random visit was carried out from 10.05am-2.20pm. The reason for this visit was to follow up concerns stated in an anonymous letter sent to the Commission in November 2008. This letter outlined several general areas of concern in relation to food, activities, wounds and staff leaving the home. We decided to carry out a short visit looking at these areas of concern as the home had not been inspected by the Commission since October 2006. We met with the Manager and the Owner of the home who assisted with this visit. We viewed two files containing information on the needs and presenting risks of the people living in the home. The information seen was detailed and up to date. Information was seen on how one persons pressure sores were being cared for and monitored by a Tissue Viability Nurse and by the staff team in the home. Records were being kept of all the care and wound prevention practices the staff team were following, for example moving the person on a regular basis. Clear risk assessments were also in place and recorded how to prevent the risks occurring. Overall both files seen contained all the necessary details of a persons life and how to care and support them in a safe and professional manner. The Manager also showed us evidence of where she had been trying to get a GP to visit the home. The Manager was keen for the people, who had not seen this GP for approximately one year, to have a health check and in some cases a medication review. This is an ongoing issue and we were happy that the Manager had taken steps to try to address this problem. The Manager was also seeking advice from the local Primary Care Trust in relation to this issue. We were informed that the home currently has no activities co-ordinator. Although the Manager informed us that there would be one or two members of staff who might take on this role and plan the activities in the home. Whilst the visit was taking place a neighbour came to the home. He provides daily yoga for those people who are interested and able to take part in this form of exercise. Other activities take place, such as, bingo, shopping and singing. Staff were seen to interact with the people living in the home throughout the inspection visit. The home does not have its own transport. we were told that dial-a-ride and taxiss are accessed for those wanting to go out into the community. One person also attends a day centre. Those people asked said they had things to do in the home if they wanted to. Most of the people spoken with looked forward to seeing family and friends. Care Homes for Older People Page 4 of 9 We met with the new cook and she showed us a sample of menus. The menus provide various choices for people, including meals that meet cultural preferences. We also saw a list of some of the preferences people have. The cook spends time asking people what they want to eat. We ate the lunch that was on offer and this was tasty and wellbalanced. Those people asked said they liked the food and that generally they could have what they wanted to eat. The Manager had one previous complaint that had been anonymously sent to Social Services. This was investigated by Social Services and there was no evidence to confirm any bad practice was taking place in the home. The Manager and Owner were informed of the recent anonymous complaint that the Commission had been sent. They were happy for the inspection visit which would look at the areas noted in the complaint letter. We were informed that recently a person from the commissioning team in the Local Authority, had also carried out their annual visit to the home and had viewed documents and had spoken with the people living in the home. People who live in the home, who were spoken with during the inspection visit, said they would talk to staff if they were unhappy or wanted to make a complaint. We spoke with all of the staff individually who were working in the morning. All the staff spoken with said they were supported and that the staff worked well together in the team. Staff confirmed they had received an induction when they had first started working in the home and were happy with the ongoing training that was being provided. We viewed the rota and were happy with the numbers of staff working at any one time. There is always a qualified nurse working in the home day or night. The Manager confirmed that three nurses and the Deputy Manager had left in the past twelve months. The nurses had left to gain experience in either another nursing home or at a hospital, or where personal circumstances had changed. The Manager had identified some recent issues with the Deputy Manager and had been going to deal with these but the Deputy Manager had left the post before this could be investigated. There is now a new Clinical Manager who will replace the role of the Deputy Manager. People who live in the home said that overall most of the staff were helpful and caring. One person did say it can be difficult getting used to new staff. Overall the findings from this visit did not provide any evidence that suggested that the issues raised in the complaint letter were valid. We spent time looking at different areas of the home and found it providing a high standard of care. What the care home does well:
The home provides individual care and considers each persons needs. The home recognises the need to promote equality and diversity issues and supports people to Care Homes for Older People Page 5 of 9 live independent and fulfilling lives. One person spoken with said they had been impressed with how the staff team had organised their civil partnership. A member of staff also confirmed they had been involved in organising this day and it had been a positive experience. We also observed staff, including the Owner, being able to talk with people in their first language, or in a language they understand more than English. Having staff being able to speak more than one language can assist people in communicating their wants and needs. This can also prevent people feeling isolated and frustrated. One relative was spoken with and they confirmed that their relative had made significant progress since moving into the home. The home continues to consider the environment of the home. The garden can be accessed for those people using wheel-chairs and the Manager and Owner explained that they are looking to have raised beds for those people interested in gardening. An outside smoking shelter was also being built. The windows had all been replaced and a new shower room was seen. Overall the people living in the home are listened to and are cared for in an appropriate and caring way. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 29 Schedule 2 Each staff employment file must contain a medical declaration that is signed by the member of staff and a recent photograph. These must be available for inspection. (Previous timescales 28/02/06 not met) 06/11/2006 2 33 24(2) A summary of the reviews 31/01/2007 the home has carried out, including any relevant comments from service users and family members must be developed and be made available for inspection and service users. Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
