Inspection on 24/10/07 for Beaconsfield Court Care Home

This inspection was carried out on 24th October 2007.

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

Beaconsfield Court Care Home 05/01/10

Beaconsfield Court Care Home 11/12/06

Beaconsfield Court Care Home 06/12/05

Beaconsfield Court Care Home 08/06/05

Beaconsfield Court Care Home 26/01/05

Beaconsfield Court Care Home 05/08/04

Beaconsfield Court Care Home 17/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Ann Charlton Lodge

Little Sisters Of The Poor

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beaconsfield Court Care Home Galgate Barnard Castle Durham DL12 8EX Lead Inspector Mr Stephen Ellis Unannounced Inspection 24th October 2007 10:00 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 Beaconsfield Court Care Home DS0000000693.V352932.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. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaconsfield Court Care Home Address Galgate Barnard Castle Durham DL12 8EX 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) 01833 637694 01833 637694 Beaconsfield@schealthcare.co.uk Southern Cross Home Properties Limited Mrs Anne Elizabeth Evans Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (32), Physical disability (4) of places Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 4 persons above the age of 55 may be accommodated within the category of Physical Disability (PD) commensurate with the home’s Statement of Purpose. 8th December 2006 Date of last inspection Brief Description of the Service: Beaconsfield Court is a registered care home with nursing, providing personal care and accommodation for up to 32 older persons, some of which may require continuous nursing care. It is provided by Southern Cross Homes Properties Ltd and operates within the private sector. The home is located near to the centre of the market town of Barnard Castle, close to local amenities. The home is a three-storey building, situated in its own private, well maintained grounds. Personal accommodation and communal space is located on all floors. Service areas are located on the ground floor. There are 30 single bedrooms and one double bedroom. Sixteen bedrooms have en suite toilets and wash hand basins. All bedrooms are suitable for wheelchair users. These are all fairly spacious rooms. The weekly fees vary between a minimum of £399.50 (residential care without continuous nursing) and a maximum of either £558.50 or £590.40 (plus a free nursing care element) where continuous nursing care is required. The fee covers all accommodation, meals and personal care (plus nursing care for those residents in receipt of continuous nursing care at the home). Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. However, the actual amount people pay will depend upon their individual circumstances. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced fieldwork visit to Beaconsfield Court took place over 5.5 hours as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and interviews with service users, staff and visitors to the home. Comments were received during the visit and from a service user survey carried out before the visit. In total there were comments received from 14 service users, 2 relatives, one volunteer, 8 staff and one visiting health care professional. The overall quality rating for this service following the fieldwork visit is judged to be ‘excellent’. What the service does well: The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being excellent. Typical comments received from service users, relatives and visitors to Beaconsfield Court included: “I received enough information about this home before I moved in…Also gave the home information about the particular condition so they could do any necessary research…From family information, plus Durham Social Services and verbal contact with the Alzheimer’s Society, plus it was local to my present address, plus our daughter and family live in the town and our son-in-law’s mother is a resident…I always receive the care and support I need…The home’s staff are very helpful and capable, which to the present time has been adequate to meet my wife’s needs…The patients are always very well cared for and their relatives very satisfied with the quality of health and social care…It’s all right here…it’s a friendly place…the food’s very good and there’s always a choice…my family can visit at any time…I like going into town in my wheelchair with staff…During my wife’s stay at this home the staff have been very good with any queries I have raised…Staff from the officer in charge (matron) downwards are very helpful. My wife has been at this home for about 18 months and I have yet to complain regarding her care…Friendly, helpful and cheerful staff.” Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Beaconsfield Court Care Home DS0000000693.V352932.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 Beaconsfield Court Care Home DS0000000693.V352932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. People who use the service experience excellent quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents, relatives and staff, plus visiting health care professional, confirmed that full assessments of needs were carried out prior to admission to the home. Prospective residents are always invited to visit the home and stay overnight if they wish, prior to being admitted. Residents and relatives said there was enough information from which to make a choice about being admitted. Typical comments included: “I received enough information about this home before I moved in…Also gave the home information about the particular condition so they could do any necessary research…From family information, plus Durham Social Services and verbal contact with the Alzheimer’s Society, plus it was local to my present Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 9 address, plus our daughter and family live in the town and our son-in-law’s mother is a resident.” Comprehensive service user guides and clear statements of terms and conditions of residence are supplied routinely. The service user guide is particularly helpful, being available in large print, audio and CD-ROM formats. The home’s reception area is next to the manager’s office on the ground floor and a variety of useful information is displayed, including the service user’s guide, reports of residents and relatives’ meetings, comment cards and previous inspection reports. The home’s administrator also occupies this office and is readily available to assist service users and visitors with any enquiry. Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 10 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 and 10. People who use the service experience excellent quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents and relatives, plus one visiting health care professional, said that they believed the health and social care needs of service users were well known by staff and were being fully met. Health care screening and holistic assessments are being carried out, with input from a variety of health and social care professionals including in-house nursing staff, local doctors, community nurses, social workers and physiotherapists. Residents said that either the home’s nurse or the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents, relatives and visiting healthcare professional said that they felt service users were treated with respect and sensitivity. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 11 Typical comments included: “I always receive the care and support I need…The home’s staff are very helpful and capable, which to the present time has been adequate to meet my wife’s needs…The patients are always very well cared for and their relatives very satisfied with the quality of health and social care.” Service user plans of care and risk assessments were impressive, being detailed and comprehensive about residents’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving residents, relatives and social workers. For example, care plans are evaluated at least once a month and each resident has a review every 6 months (or every 3 months in certain cases) to which the resident and relatives are invited by the home to attend. Social Services hold reviews annually, involving the resident, relatives and staff from the home. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and a high percentage of permanent care staff (over 75 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All nursing staff members are responsible for the administration of medicine and have completed accredited training. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and nursing staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are either collected by a licensed waste disposal agency or returned promptly to the Pharmacist, depending upon legal requirements, and the home is careful not to stockpile large quantities. Nursing staff members carry out medicine audits routinely. It is commendable that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are also present in their case files). Beaconsfield Court Care Home DS0000000693.V352932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Many residents said they enjoyed living at Beaconsfield Court and described the staff as being caring and helpful. They liked the atmosphere in the home, describing it as being friendly and supportive. They liked the small groups in the various lounge and dining areas across the home. They were free to sit in any lounge or dining area, or in their own bedroom, just as they wished. All were satisfied with the arrangements for daily life in the home. Residents confirmed they could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their time, including when they got up and went to bed. They said there were different events and activities that they could take part in if they wished, including religious observances; bingo; board games; crafts; occasional visiting entertainer; seasonal events; quizzes; raffles; chair exercises; videos and DVDs; reminiscence and outings. There is also a visiting hairdresser each Tuesday. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 13 Residents confirmed that they could pursue individual interests such as reading and television, and their religious needs were also addressed (for example, small services are regularly held at the home). The home has a ‘trolley shop’ and library service, that are popular, with any profits going to the residents’ comfort fund. The home tries to ensure that individual, one to one activities are available for those residents who cannot participate in group-activities. Residents and relatives said that visitors were always made welcome and there were no set visiting times. Some residents went out with relatives or friends for part of the day. At least 4 times per year there are outings to places of local interest, using the specially adapted company bus. The home is trying to recruit an activities organizer but, in the meantime, is using most of the 20 hours per week allocated to the position to fund social and recreational inputs from two members of staff. A volunteer has been visiting the home for the past 13 years and provides assistance with activities and/or befriending several days per week. There are some good links with the local community, including shops, a visiting singing group and churches. Beaconsfield Court recently celebrated Harvest Festival with its residents and their supporters, who clearly enjoyed the experience held at the home. Typical comments from service users included: “It’s all right here…it’s a friendly place…the food’s very good and there’s always a choice…my family can visit at any time…I like going into town in my wheelchair with staff.” All the residents spoken to said the catering was very good, including a full, cooked breakfast if desired. They felt there was a good choice and the Cooks understood their preferences. The principal Cook has recently completed a ‘focus on food’ training course, which she described as being very stimulating and helpful. Nutritional screening takes place routinely and the home provides a wide range of meals based on a well-informed approach to healthy eating and appetising menus for older people. Fresh fruit is provided in between meals along with a choice of drinks. Residents mainly dined together in the various dining areas. They could, however, eat their meals elsewhere (such as their bedrooms) and at different times if required. Décor and furnishing in dining areas was attractive, creating a relaxed and welcoming environment. The home has plans for further improvements in these important areas, to make lounge and dining areas more homely and attractive wherever possible. Tables were supplied with linen tablecloths and napkins. Staff members will assist residents with their meals wherever necessary. Records are kept of meals served. A good choice of menu is provided, with ample portions and the quality of meals was observed to be very good. Birthdays are celebrated with a cake and sometimes a special tea if it is a ‘special’ birthday. Beaconsfield Court Care Home DS0000000693.V352932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents and relatives who commented said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide, plus a copy is on the notice board in Reception. Staff and management are aware of the need to safeguard adults from abuse or neglect and many have undergone training in these issues. Further staff training in this important area is planned within the next 12 months. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 15 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 and 26. People who use the service experience good quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. Most staff members have completed training in health and safety, fire safety, food hygiene and infection control. Bathrooms and toilets were supplied with liquid soap and paper towels in wall mounted containers, to help prevent cross infection. All residents have their own personal towels and flannels, which they keep in their rooms. Residents said they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. The home is well maintained, with repairs and servicing being carried out according to schedule and generally in a timely manner, including inputs from the part time maintenance officer (20 hours), who works weekdays at the home. Since the last inspection, brighter lighting has been installed in corridors throughout the home, along with improved window restrictors. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 16 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 and 30. People who use the service experience excellent quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of inspection, there were 31 residents being accommodated, including 15 in receipt of continuous nursing care. Residents and relatives said that they got on well with staff and all felt that there were sufficient numbers of staff to meet their needs. This view was reflected in staff comments. Staff morale was both observed and reported to be good. Typical comments received from residents and their representatives included: “During my wife’s stay at this home the staff have been very good with any queries I have raised…Staff from the officer in charge (matron) downwards are very helpful. My wife has been at this home for about 18 months and I have yet to complain regarding her care…Friendly, helpful and cheerful staff.” During the day (8am to 8 pm) there is one nurse on duty, plus 6 carers (two on each floor). In each bedroom there is a laminated sheet detailing the resident’s personal key worker (with a photograph of the key worker) plus named nurse, along with key issues relevant to the resident’s care needs. In addition, there is an activities organiser’s post of up to 20 hours per week. In the absence of a post-holder at present, most of these hours are Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 17 successfully allocated to 2 members of staff to provide a social and recreational activities programme. The registered manager is also a registered nurse and is full time, Monday to Friday. The home employs an administrator each weekday (24 hours per week). A part time maintenance man is also available each weekday (20 hours) and there are dedicated catering and housekeeping/domestic staff deployed in sufficient numbers for the needs of the home. At night, there is one qualified nurse and 2 carers on duty. A comprehensive staff training and development programme is in operation, based on assessments of individual staff training needs. Staff confirmed that they had undergone induction, foundation and specialist training. Over 75 of permanent care staff have achieved National Vocational Qualifications (NVQ) in care at level 2 or above (many at level 3), which is commendable. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 18 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, 32, 33, 35, 36 and 38. People who use the service experience excellent quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The registered manager is well experienced and competent in her role, being a registered nurse with 20 years of management experience. Residents, relatives, visitors and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She is nearing the completion of her Registered Manager’s Award at National Vocational Qualification (NVQ) level 4 (expected February 2008). She is well supported by a deputy and professional staff team, including a part time administrator who works each weekday morning. Staff confirmed that they are regularly supervised (bimonthly) and have an annual appraisal. The registered manager completes a comprehensive, monthly audit of all key functions of the service being provided. Her line manager (the Operations Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 19 Manager for Southern Cross) also carries out wide-ranging audits at the home bimonthly, as well as monthly visits to check on the progress of the home and its service users. These contribute significantly to the quality assurance process, helping to identify and resolve any problems at an early stage. One visiting healthcare professional spoke very highly of the quality of Beaconsfield Court, especially the good management and caring practices of the staff. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home helps look after residents’ monies, such as pocket monies, clear individual accounts and records are maintained. These are subject to regular, independent audit. Service users have ready access to their money, even at short notice. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. The manager takes a lead role in Health and Safety Risk Assessments and has achieved the Intermediate Certificate in Supervising Health and Safety. All relevant staff members do refresher training in Health and Safety, such as moving and handling, control of substances hazardous to health, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at bimonthly staff meetings, including meetings of the cross-section of staff representing the Health and Safety Committee at the home. Residents and staff expressed satisfaction with the way the home was run. For example, all residents spoken with said the home was always fresh and clean. Residents and staff said they enjoyed living and working at Beaconsfield Court and believed the home was safe and run in the best interests of residents. For example, there is a named photograph of each member of staff in the entrance foyer, along with copies of helpful documents including the home’s service user’s guide, report of the last meeting of residents and relatives, plus comment cards inviting feedback on the quality of the service and suggestions for improvement. The manager routinely invites comments and suggestions for improvements from both residents and visitors to the home, via regular meetings, surveys and consultations, including a monthly evening surgery. Annual written surveys are sent to residents and their families requesting feedback on the quality of the service. Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 20 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 4 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 4 Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Beaconsfield Court Care Home DS0000000693.V352932.R01.S.doc Version 5.2 Page 23 - 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!