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Inspection on 08/06/05 for Beaconsfield Court Care Home

Also see our care home review for Beaconsfield Court Care Home for more information

This inspection was carried out on 8th June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a comfortable, safe and accessible place for service users to live. Service users spoken to said they liked the accommodation and the quality of the food served, comments included " My room is big", "The food is smashing most days". Service users also talked about the routine in the home, activities and the staff, " Very easy and comfortable", "I like to go out on trips if I can", " Staff let me do as much as I can for myself ". The activities co-ordinator said she asks service users what activities they would like and arranges a varied programme that meets the needs and preferences of everyone who lives in the home. One service user said she likes to go out but due to travel sickness does not go on bus trips, but is supported by her friend or staff to go out locally.

What has improved since the last inspection?

Since the last inspection the information included in the staff personnel files has improved, which ensures that new staff are vetted for the protection of service users before starting employment in the home. Some furniture has been renewed in the communal areas to improve the standard of comfort for service users and other visitors to the home.

What the care home could do better:

The provider must continue with the process to recruit a new permanent manager for the home as for some months temporary arrangements have been in place. Some records need to be reviewed to ensure all information given to people who make an enquiry to the home, are given up to date information. The provider must ensure all staff are given the opportunity to sit with their line manager on a regular basis and talk about their working performance and identify areas where the staff member needs to gain extra skills and abilities to ensure that they are equipped to give a good standard of service to those who live in the home and other visitors. One service user spoken to said that she was generally satisfied with the service but her only criticism was, " I sometimes wait awhile to come from the toilet".

CARE HOMES FOR OLDER PEOPLE Beaconsfield Court Care Home Galgate Barnard Castle County Durham DL12 8EX Lead Inspector Belinda Parker Unannounced 8 June 2005 9:00am th 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. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beaconsfield Court Care Home Address Galgate Barnard Castle County Durham DL12 8EX 01833 662 322 01833 637 694 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) Highfield Home Properties Limited Mrs Olive Carter Care Home with Nursing 32 Category(ies) of OP Old age - 32 places registration, with number PD Physical Disabilities - 4 places of places Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 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 Date of last inspection 26th January 2005 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 who may require 24hr nursing care. It is owned by Highfield Homes Properties Ltd and operates within the private sector.The home is located in 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. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on 8/6/05 over a period of 3.5 hours. During the inspection the inspector spoke to service users and staff. The inspector toured the building and a number of records were examined. Since the last inspection one of the three requirements made has been met. What the service does well: What has improved since the last inspection? Since the last inspection the information included in the staff personnel files has improved, which ensures that new staff are vetted for the protection of service users before starting employment in the home. Some furniture has been renewed in the communal areas to improve the standard of comfort for service users and other visitors to the home. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 6 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. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 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 Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 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) 1 and 2 An outdated copy of the Statement of Purpose and absence of the Service User Guide does not present the services the home provides in a positive manner to prospective service users. EVIDENCE: The home had available for inspection a Statement of Purpose which set out the aims and objectives of the home. On examination this document required up dating due to recent changes in the overall organisational and management structure within the home. The Deputy manager said this document was given to all prospective service users to enable them to make an informed decision as to whether they wished to move into the home. The Service User Guide is also given to prospective service users which outlines facilities and services within the home. This document was unavailable for inspection. On the day of the inspection the administrator was unable to locate the Terms and Conditions of residency given to individual service users. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 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 Since the last inspection the process for the evaluation of care plan has improved, adequately providing staff with information they need to satisfactorily meet service users needs. EVIDENCE: Since the last inspection 3 care plans examined showed there had been an improvement in evaluation of care plans and evidence to show the involvement of relatives in reviews held at the home. It is important that individual service user’s care plan are reviewed regularly to ensure their changing needs are met. The deputy manager said the home is awaiting new care plan documentation which should improve the quality of information relating to the care needs of service users who live in the home. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 10 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) 12 and 15 Staff put a lot of effort into ensuring the flexible lifestyle offered to service users who live in the home matches their preferences and expectations. Dietary needs of service users are well catered for with a balanced and varied selection of foods available that meets service users tastes and choices. EVIDENCE: Discussion with the activities co-ordinator and service users showed that there was a varied range of activities to meet the needs of all service users in the home. Service users spoken to said it is their choice as to whether they join in. One service user said she would like to go out on bus trips but due to travel sickness enjoys going out into the local community supported by her friend or staff. The weekly programme of activities is displayed on each floor in the home for service user and relatives information. Service users spoke positively about the quality and choice of food served in the home. Comments included, “ Food smashing most days”, “ Food good, plain cooking”. Tables were observed to be set appropriately, the menu was displayed on each dining table for service user information. Care plans contained a nutritional assessment to ensure service user’s individual dietary needs were being met. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 11 Service users spoken to during the inspection said the daily routine was flexible and unhurried. One service user was still in her night wear late morning, she said that was her choice, she lets the staff know when she wishes to get dressed. Comments from service users included “ Very easy and comfortable”, “ Staff let me do as much as I can for myself ”. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 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) EVIDENCE: This standard section was not assessed at this inspection. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 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, 23, 24, 25 and 26 Recent investment in renewal of some furniture has increased the standard of comfort for those living there and visitors to the home. EVIDENCE: On touring the home it was observed that service users are provided with safe, comfortable, well maintained, odour free and accessible communal and private accommodation. Service users spoken to during the inspection said they were satisfied with the standard of their accommodation. One service user commented “ My room is very big ”, another service user said, “The cleanliness of my room and the home is excellent ”. A range of disability equipment is available in the home to meet the collective needs of the service users. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 14 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, 28 and 29 Since the last inspection the standard of vetting and recruitment practices of new staff have improved, which ensures the protection of service users. Through training the staff are given a good understanding of the support needs of individual service users living in the home. EVIDENCE: Staff duty rotas examined showed that the home is staffed in adequate numbers and skill mix to meet the collective needs of the people who live there. The deputy manager was able to demonstrate that the home continues to work towards 50 of care staff achieving NVQ2 in care. A member of staff recently appointed said she is currently nearing completion of the induction period, and was keen to develop her skills and abilities within her role of responsibility to ensure a good level of service to the people who live in the home. Since the last inspection examination of staff personnel files showed that there had been an improvement in the information required/included to ensure the protection of service users through the recruitment process. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 15 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) 31,34, 35, 36,and 37 At present there is no permanent manager in post to ensure guidance and direction to staff to ensure service users receive consistent quality care. This results in staff’s personal development programme not progressing which may result in staff not being equipped with the skills and abilities to deliver a good service to the people who live in the home. EVIDENCE: Interim arrangements have been put in place for the management of the home due to the termination of employment by the former manager. Recruitment of a new manager is currently ongoing. Evidence of financial viability to show that the home is being run as an efficient and effective business was not available in the home on the day of the inspection (Outstanding since the last inspection). Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 16 The company recently reviewed the procedure for the safekeeping of money held on behalf of service users by the home. This system tends to be restrictive as money is pooled and not stored individually. The system for formal supervision of staff has not been implemented (Outstanding since the last inspection). The deputy manager said due to changes in management over recent months, this process still needs to be developed and introduced to staff. The deputy manager is aware that staff need to be able to talk about all aspects of their care role and discuss their development needs to ensure that service users living in the home are receiving a good standard of care. Records examined during the inspection were up to date and current with the exception of the Statement of Purpose which required updating to ensure all prospective service users have current information about the home, to enable them to make an informed decision as to whether they wish to live there. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 1 1 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 2 x x 2 2 1 2 x Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 18 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. Standard OP1 Regulation 4, 5 Requirement Timescale for action 1/9/05 2. OP34 25 3. OP36, OP37 18 The registered person must have available and provide an up to date and current Statement of Purpose and Service user Guide to prospective service users. The registered person must 1/9/05 provide Commission for Social Care Inspection with evidence of financial viability (Outstanding since the last inspection) The registered person must 1/9/05 develop and implement a system of formal supervision for all staff. (Outstanding since the last inspection). 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 OP2 Good Practice Recommendations The registered person should provide all service users with a copy of the Terms and Conditions of residency. This document should be signed by the service user or their representative as to their agreement. (Outstanding since the last inspection). The registered person should ensure that the home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 19 2. op28 Beaconsfield Court Care Home 3. 4. OP31 OP35 continues to work towards 50 of care staff achieving NVQ2 in care. The registered person should recruit a permenent manager for the home. Money held in the home on behalf of individual service users should not be pooled. Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Beaconsfield Court Care Home B54 S693 Beaconsfield V231942 080605 Stage 4.doc Version 1.30 Page 21 - 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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