Inspection on 01/06/05 for Beaconville Nursing Home

This inspection was carried out on 1st June 2005.

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

The inspector 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

Beaconville Nursing Home 03/03/08

Beaconville Nursing Home 10/01/07

Beaconville Nursing Home 13/01/06

Beaconville Nursing Home 05/01/05

Beaconville Nursing Home 13/07/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE Beaconville Nursing Home Beacon Road Ivybridge Plymouth PL21 0AQ Lead Inspector Douglas Endean Unannounced 1st June 2005 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. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beaconville Nursing Home Address Beacon Road, Ivybridge, Plymouth, PL21 0AQ 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) 01752 896505 01752 604954 21st Century Care (Plymouth) Ltd Anne Taylor Care Home 35 Category(ies) of Dementia - over 65 years of age (35), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (35) Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for max 35 DE(E) service users 65 years and over. 2. Registered for max 35 MD(E) service users 65 years and over. 3. Over 65 years of age Date of last inspection 05/01/05 Brief Description of the Service: Beaconville Nursing Home is a large detached building (originally two large houses) within it’s own walled grounds and is in close proximity to the centre of Ivybridge that is on the edge of Dartmoor National Park. It has an extension to the rear and side of the main house that provides additional single and double room accommodation at ground and mezzanine level. There are twenty-seven single rooms, three with en-suites and three double rooms. The home has good provision of services for people with physical disabilities such as Parker bath’s, hoists and a shaft lift from the first to the mezzanine floor. Several steps are encountered to progress further to the 1st floor. The home’s primary registration is to meet the needs of elderly people with a dementia or mental disorder, and the trained nursing staff, employed at the home, are skilled at this. They supervise a team of Social Care staff who are also trained to meet the individual needs of the Service Users living at the home. The design of the home provides many individual communal areas for lounge, dining and recreational activities. Several of the Service Users rooms are very large providing space well above the required standard. A hotel style kitchen produces the meals for all the Service Users. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and took place on the 1st June 2005 over a period of three hours. Neither the Manager nor the Registered Persons were on duty at the time of the inspection. During the inspection three staff were spoken to as well as one visiting relative and several patients. The records of four patients and eight care plans were scrutinised, maintenance records were looked at and the fire folder was read. The homes Fire Warden provided information to the inspector about some of the homes fire safety arrangements. The inspector also toured the home looking at the communal spaces, a sample number of bedrooms and bathing facilities. What the service does well: What has improved since the last inspection? What they could do better: All staff need to be clear about their role/responsibility in fire safety and any Health & Safety issue. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 6 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. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 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 Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 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) 3. Standard 6 is not applicable. The Manager only admits patients to the home who have needs that can be met by the service. EVIDENCE: There is a comprehensive pre-admission assessment format that is completed by the Manager on all prospective patients. The inspector read a sample of four assessments during the inspection all of which were fully completed having information relating to the mental health problems as well as general issues such as mobility, continence and personal history. This information was also supported by information supplied by health service and social care professionals who had been involved in the admission referral. There were care plans in each file that had been initially drawn up from this information and regularly reviewed by named nurses. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 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, 8 & 10 The arrangements for meeting the health care needs of the patients are satisfactory. The care staff are respectful towards the patients and their relatives. EVIDENCE: The inspector reviewed a total of eight care plans. Each patient has a day and a night care plan. Each plan were seen to be based initially on standard formats that covered such things as risk of falling, continence, risk of scalding and absconding and all had evidence that showed they receive at least a monthly review by the clients named nurse. There was evidence in the patients records that other health care professionals are involved in their care such as the General Practitioner and District Nurse where a NHS determination assessment had taken place, the result of which could be seen in the files. During the tour of the home the inspector saw a variety of mobility aids such as stand aids and electrically operated hoists. The service labels were evidence that they are maintained appropriately. Other equipment included pressure relief mattresses and cushions. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 10 Staff were seen to treat the patients with respect and address them in an acceptable manner. The visiting relative paid compliment to the way staff treat her and the patients in their care. Intermit care was provided in the privacy of the patients own room or another appropriate area such as the toilet or bathroom. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 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) 13, 14 & 15 The approach that is adopted by the staff enables the patients to express their individualism despite their disability. The patients are provided with good food and help is given where it is needed in a manner that helps to maintain their dignity. EVIDENCE: Visiting can take place at any reasonable time. Relatives are informed of this verbally and in the statement of purpose. A number of visitors were in the home during the period of this inspection and one was spoken to who gave positive comments about the care her relative receives. Visiting can take place in any of the communal areas or in the privacy of the patients own room if they wish. The home has an active relatives group, “Friends of Beaconville” who involve themselves in the running of the home. The patients exercise choice in many ways despite their disabilities. The staff are experienced in understanding when a patient is expressing a view such as not liking the cloths that are offered them or the food at a meal time. The admission process also includes gaining information from relatives and friends about likes and dislikes. The case files were seen to hold information such as what time the patient prefers to go to bed and what foods they like or dislike. Patients may bring personal possessions into the home. The inspector saw that some rooms were personalised. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 12 The records, patients and others such as maintenance and policies` and procedures, are kept in the manager’s office and are secure. Access is open only to those who have a right to see them. The home has a hotel like kitchen that produces all the meals for the patients. Meals are planned following nutritional needs due to medical conditions such as diabetes, known likes and dislikes and personal occasions such as birthdays. The manager, registered person’s and cook are all involved in meal planning. Good stocks of fresh and frozen foods were seen by the inspector during the inspection of the kitchen and store rooms. Drinks are regularly offered to the patients and many are helped to consume these. The main meal was unhurried and some of the patients were helped to eat their meal in an unhurried way. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 13 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) 16 The arrangements for informing people of the complaints procedure, and for dealing with complaints, is good. EVIDENCE: The home has a complaints procedure that is displayed in a conspicuous place and is also in the statement of purpose. The relative that spoke to the inspector stated that she does know how to complain and who to direct a complaint to. She expressed a view that complaints would be listened to and acceptable responses given. The homes relatives group has provided a further voice to raise concerns and express views about the home and the care of the patients who live there. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 14 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 & 26 The registered person’s and registered manager have taken the necessary steps to make the home safe to live and work in. The staff need to understand their individual responsibility in matters of fire and health & safety clearly. EVIDENCE: The home employ a maintenance man who along with others who attend the home as part of service contracts, i.e. lift and hoist maintenance, electrical appliance checks and structural building maintenance, keep the home in a safe state of repair. There is property and fire risk assessments that are regularly reviewed. The fire risk assessments were reviewed during this inspection. Some fire doors were in need of adjustment so that they will close fully. A recently completed alteration is now just awaiting a Building Control completion certificate. A recent fire inspection by the Fire Department was satisfactory. Due to the commencement of building work some areas on the outside of the building are cordoned off and safety notices are in place. The home was seen to be clean and odour free during the tour undertaken by the inspector. The arrangements for “Control of substances hazardous to Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 15 health regulations” was inspected and found to be of a high standard as on previous inspections. The home has a separate laundry that has washing machines with sluicing cycles and commercial dryers. This area is has its own staff fully employed to work in the laundry. The laundry is constructed in a satisfactory manner. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 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 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 There are sufficient numbers of appropriately skilled staff employed at the home to meet all the needs of the patients. EVIDENCE: At the time of the inspection there were adequate numbers of staff on duty who were led by a registered nurse. The duty sheets provided evidence that recent shifts were also staffed adequately. The home employs additional staff on catering and domestic duties in sufficient numbers that allow the tasks to be completed. The inspector observed that these staff were in addition to the care staff. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 17 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 The registered manager, and registered persons, manages the home in a professional and business like manner setting the needs of the patients as their main priority. EVIDENCE: The registered manager is an experienced first level nurse who with proven management skills and a good deal of experience in caring for the elderly person who has a mental health problem. She is also studying for her registered managers award. There are clear lines of accountability in both care and the management of the home. The accident book and fire logbook were seen by the inspector and both provided evidence that the home records information required by legislation. Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 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. 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 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 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 3 x x 3 x x x x x x 3 Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 19 NO 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 19.5 Regulation 23(4) Requirement The registered person shall after consultation with the fire authority make adequate arrangements for the maintenance of all fire equipment. Fire doors should be adjusted so that they shut fully. Timescale for action Immediate 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 Good Practice Recommendations Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Beaconville Nursing Home D54-D07 S50213 Beaconville V222630 010605 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. 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