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Inspection on 27/02/07 for Beamish Residential Care Home Ltd

Also see our care home review for Beamish Residential Care Home Ltd for more information

This inspection was carried out on 27th February 2007.

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 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

One of the strengths of this home is the personal interest that the manager and staff take in the welfare of residents. Most staff have worked there a long time. Residents and relatives praised the staff for the way they treat them. They describe them as patient, nice and helpful, and one relative said, "Staff are only too happy to listen and respond to any request". The manager works hard to look after the health of residents and prevent problems developing. She has developed links with the local surgery so she can work well in partnership with health professionals. Residents enjoy their meals and choices are available. One relative said, when asked by the home, "Meals are tasty, wholesome and well presented". All the staff, apart from one person who has not worked at the home long, have achieved the recognised qualification for care staff, the National Vocational Qualification level 2 in care. This is a good achievement, because the National Minimum Standards for care homes recommend as a minimum that only half the staff achieve this level.

What has improved since the last inspection?

The home has fitted devices so that people can leave their bedroom doors open if they want to, but if the fire alarm sounds, the doors will still shut automatically. Work has continued to upgrade the electrical wiring in the building.

What the care home could do better:

Care plans must include detailed information on the help each resident needs to move around in their daily lives, for example, getting up from a chair or getting out of bed. The plans should describe any equipment needed and how many staff are needed to help them. Staff must also write down when they have considered if anyone is at risk of developing pressure sores, so they can make sure they take action to try and prevent them. The system for recording reviews of the care plan must be changed so that it is clear what current needs are at any time . Staff must record that medication has been administered only when the person has actually taken it. Staff should look more closely at each resident`s individual needs for social activities and occupation. They should record what people previously liked to do, asking relatives if they need to, and see if they can try and provide activities to suit each person`s individual interests. This should be recorded as part of the care plan. The work to bring the electrical wiring in the building up to modern standards must be completed.

CARE HOMES FOR OLDER PEOPLE Beamish Residential Care Home Ltd Old Vicarage West Pelton Stanley Durham DH9 6RT Lead Inspector Ms Kathy Bell Unannounced Inspection 27th February 2007 10:30 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 Beamish Residential Care Home Ltd DS0000041569.V320621.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. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beamish Residential Care Home Ltd Address Old Vicarage West Pelton Stanley Durham DH9 6RT 0191 3701763 0191 3701763 No e-mail 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) Beamish Residential Care Home Limited Mrs Marie Theresa Murray Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Beamish Care Home provides care but not nursing care for 21 older persons. The home has been established for a number of years and is managed by the owner. The home is on the outskirts of the village of West Pelton in a private residential area . It is next to a church and close to shops, and other amenities in the village. A bus route which connects to the nearby towns of Stanley and Chester-le-Street is five minutes walk away from the home. The building was originally a vicarage and has been extended and modernised over the years. On the ground floor there are two lounges and a separate dining-room and some bedrooms in a newer extension. The rest of the bedrooms are upstairs and there is a stair lift for those who cannot manage stairs. Two of the bedrooms are doubles and one is currently used by a married couple. The weekly charge for this home is £365. This information was supplied to CSCI in July 2006. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place during two days in February 2007. It was the one inspection planned for the year. The home did not know in advance when the inspection was going to happen. During the visit, the Inspector spoke with 12 residents, two relatives, a visiting doctor, the manager of the home, three care staff and one of the cooks. She also received written comments from a care manager who places residents in the home and four relatives had filled in survey forms on behalf of family members. The inspector looked around the building and looked at records kept. What the service does well: What has improved since the last inspection? The home has fitted devices so that people can leave their bedroom doors open if they want to, but if the fire alarm sounds, the doors will still shut automatically. Work has continued to upgrade the electrical wiring in the building. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Beamish Residential Care Home Ltd DS0000041569.V320621.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 Beamish Residential Care Home Ltd DS0000041569.V320621.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): Standards 1 &3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides residents with enough information so they can decide if the home will be the right place for them. Residents needs were assessed before they were admitted, to make sure that the home would be able to look after them. Standard 6 was not assessed because this home does not provide intermediate care. EVIDENCE: The home gives each resident a contract within a Service User Guide. This explains what is and is not included in the weekly charges and how much notice is required before someone leaves. It also gives people helpful information about facilities in the home and how staff will help people receive the health care they need. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 9 Records show that the home obtained a copy of the assessment made by a care manager before residents were admitted. They had made their own assessment of the needs of someone who was paying for their own care. Beamish Residential Care Home Ltd DS0000041569.V320621.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): Standards 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident has a care plan which explains the help they need. But these must include full information on help needed to move around to make sure that people are moved safely. Residents care needs are met and the home makes sure they receive the health care they need. The home looks after medication for residents safely but had not been recording at the correct time when it had been given to residents. EVIDENCE: Each resident had a written care plan which explained what help they needed with their daily lives. The staff had been recording that they had reviewed this every month to check if anything had changed, which is good practice. But they had written any changes in the record of reviews, not on the care plan itself. This meant it was not easy to see an up-to-date picture of the care each resident needed. This was discussed with the manager who agreed to change the system. This is a fairly small home and most staff have worked there a long time. As a result, it is easier for them to know exactly what they should do for each Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 11 person. The staff felt that there were good systems to make sure they were kept up-to-date with any changes. However, information should still be kept together in a way which is easy to read, to make absolutely sure that staff know what they need to do. This would be even more important, if a new member of staff was looking after someone. The care plans included a lot of useful detail about things like personal care needs, handling money, communication and medication. They described peoples preferred daily routines. But there were not clear guidelines to tell staff what they needed to know if they were helping residents with tasks like getting up from a chair, getting in the bath etc. Each person should have a description of the help they need with each task, including how many staff are needed to help them and what equipment is needed. As well as being required by law, this is essential for the safety of residents and staff, to make sure staff know exactly how they need to help people. It also helps managers be sure they have looked at everything they need to and they can record when they have acted on advice from, for example, an occupational therapist. However, the manager described the various aids they used to help people move around and said that most residents could stand by themselves. Care staff said that if they needed extra equipment, they would get it. So, even though the proper records were not kept, action was being taken to make sure residents were helped in a safe way. In a similar way, equipment had been provided and advice obtained from district nurses, to treat and help prevent pressure sores. But staff were not routinely recording assessments of whether each resident was at risk of pressure sores so they could make sure they put in preventive measures when they were needed. Relatives who commented felt that their family members were well cared for. One commented that their mother has never looked so well since coming to the home. Records kept in the home showed that the manager actively pursues good health care for her residents. Staff are alert to signs of infections etc which would quickly affect the well-being of older people. A nurse from a local surgery visits weekly to look at any problems which do not need a doctors visit urgently. A visiting doctor was satisfied with the way the home looks after peoples health care needs. On the survey forms, relatives said that their family members always or usually received the health care they needed. The inspector saw the manager working with the district nurse to make sure that the last days of one resident were made as comfortable as possible. In most ways, the system for looking after medication seemed satisfactory. Records were kept and medication stored safely. But it has been the practice in the home to record that medication has been given to someone after it has been taken out of the packaging and put into a pot to be given, but before the Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 12 resident has actually taken it. The manager and staff had understood from their training that this was the right thing to do. They had felt confident doing it this way because the residents never refused medication. Staff should record that medication has been administered once they are sure the resident has actually taken it. Doing it this way encourages good practice because it makes sure that staff wait to make sure that a resident has taken medication. This is particularly important where residents may have dementia and fail to take medication put in front of them. Staff did confirm that they do wait and check that medication has been taken. All the relatives who completed surveys felt that staff listened and acted on what residents said. One said, staff are only too happy to listen and respond to any request. Other relatives felt that staff had a good manner with residents and were caring. One resident confirmed that staff made her feel comfortable when they were helping her with personal care. The inspector saw staff taking a resident to a private area when her clothing needed adjusting. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 13 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): Standards 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are a range of activities in the home but more attention is needed to make sure individual needs are met. Visitors are made welcome in the home and the staff are good at keeping relatives up-to-date with how family members are. Residents can exercise choice in their daily lives. The home provides meals which are enjoyed and which meet individual needs. EVIDENCE: The home tries to provide a range of activities for residents, although some people are limited in what they can do because of short-term memory problems. Activities include dominoes, skittles and music, and concerts have been arranged as well. Extra staff hours are provided some afternoons to enable staff to devote time particularly to activities. There was a supply of library books available. Some residents go out with family or friends to local clubs or social activities. The manager described how staff sometimes take residents out to the local pub for lunch and staff come in on their days off to make this possible. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 14 In the surveys completed by relatives on behalf of residents, one question was, are there activities arranged by the home that you can take part in?.Two said always, one said usually, and one said sometimes. Staff had recorded on care plans some information about social activities which people enjoyed and a record was kept of particular activities people had taken part in in the home. The home might be able to improve the way it meets peoples needs for activity and stimulation if care plans looked more closely at what activities each person is able to enjoy now (taking into account what they enjoyed earlier in their lives) and set out how staff were to help each person take part in these activities. Relatives and friends can visit when they want to. Residents can see visitors in their rooms in private. Relatives said that staff keep them informed about how their family members are, Marie phones straightaway if somethings happened. One relative described how the manager respects relatives knowledge of their family member and uses this to find out if anything is wrong with a resident. Residents were seen to exercise choice in their daily lives, with some spending time in their bedrooms rather than in the lounges all day. Although most choose the main meal at lunchtime, alternatives are available if asked for. Various choices are available for the evening meals and one resident said , they ask us what we want for tea . Where a resident had been placed in a particular sitting area of the home, the manager was able to explain why this had been done, in the interests of the well-being of other residents. All the residents who commented said that food in the home was, very good or, very nice. Relatives said that their family members, always or, usually enjoyed their meals. One said that their mother, has never eaten so well and always enjoys every meal. One relative said, when asked by the home, meals are tasty, wholesome and well presented. One main meal is provided each lunchtime but alternatives are available if asked for. Residents are offered a choice at tea time and the records showed that a variety of lighter meals are available. The cook described how they ask for comments on the meals or suggestions for menus. There was a supply of small tins of food in the larder so that individual meals could be easily provided. Care plans included information about any particular nutritional needs, and likes and dislikes. The cook explained how information about particular needs are clearly available in the kitchen to make sure that everyone who may be providing food is aware. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 15 Staff make sure that food is handled safely by following food safety guidelines, updating their training when required and checking the temperatures of fridges and freezers regularly. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 16 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): Standard 16 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives feel able to complain and the home deals properly with any complaints. As far as possible, the home protects residents from abuse. EVIDENCE: There is a satisfactory formal complaints procedure and information about this was available in the home. A record had been kept of the small number of minor complaints which had been received. This showed that people were able to raise any concerns and that the manager dealt with these properly and checked that people were satisfied with how they had been dealt with. Relatives confirmed that they felt able to raise any issues with staff. Care staff have had training so they can understand what is considered abuse and what they should do if they see it. The deputy manager has done a course which qualifies her to train other staff in the protection of vulnerable adults. This means that new staff can be properly trained without any delay. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 17 When the home looks after residents money, the staff keep proper records so that residents are protected from any financial abuse. The home checks new staff before they are employed to make sure they are suitable people to work in a care home. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 18 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): Standards 19 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable place to live which meets residents needs. But rooms on the first floor are only suitable for people who can use a stair lift or stairs. The home is kept clean and free from infection. EVIDENCE: The home is decorated and furnished in a domestic style throughout. It provides a choice of sitting areas. Bedrooms are large enough and residents have been able to fill them with their own possessions. There are some bedrooms on the ground floor but people with rooms on the first floor need to be able to manage either stairs or the stair lift. The owner has continued to make improvements to the building to make it more comfortable and safe. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 19 The home seemed clean on the day of inspection and relatives all said that it was always kept fresh and clean. The home is always spotless. Staff said that they always had enough supplies of gloves and aprons to make sure that they prevented the spread of any infection. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 20 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): Standards 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home seems to have enough staff to look after the current residents, though the manager must keep checking that they have enough time. Staff show caring attitudes and almost all have achieved the recommended qualification for care staff. The home checks new employees to make sure they are suitable to work in a care home. Training is provided to make sure staff have the skills and knowledge to work safely, but some staff needed refresher training. EVIDENCE: There are at least two care staff on duty through the daytime and evening and at night. There is an hours overlap between the morning and afternoon shifts so that care staff have time to record what has happened on their shift and pass on information. Staff described how they organise their work so that if two staff need to help someone into the bath, once this task is done, the second carer goes back to the lounge so people are not left unattended. Also on some afternoons extra hours are provided to organise activities for residents. As well as this, the manager also makes herself available to help out with care for some of her time. The deputy manager works extra hours, apart from her care hours on the rota, to do administrative work and keep policies and procedures etc up-to-date. The manager explained that they are Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 21 still working out how many hours they need to cover some of this work which was done by the previous joint owner of the home. Care staff said that extra hours have been provided at times when they needed them and they were confident that they could tell the manager if they were needed again. The manager also said that, if necessary, night staff could work until 8 a.m., to help get people up in the morning. Staff work extra hours if they need to take someone to hospital. The manager said that they can cover for sickness and holidays from the existing staff team. Relatives said that there were always staff available when they were needed. One resident thought they needed more staff because staff couldnt always help them at once but they did say that staff always come back in a couple of minutes to help them. Another resident said that people were waiting for staff to help them at busy times. Although staffing levels are lower than expected for this number of residents, there were no signs that people were not receiving the personal care they needed. Relatives were more than satisfied with the way staff cared for residents, and said nothing is a trouble to them. But the manager must keep checking that there are enough care hours to look after people well and meet their needs for attention and occupation. She must also take into account that people who have rooms upstairs need to feel that the staff have enough time to take them upstairs whenever they want to go, otherwise they may be reluctant to ask, and restrict their own choices. All the care staff apart from one new person have achieved NVQ 2 or 3 in care. This is a good achievement as the National Minimum Standards recommend that half of care staff achieve the level 2 qualification. Staff seemed to have the personal qualities needed for care work. Relatives described them as always cheerful and helpful and conscientious. Residents said that the staff were nice and patient. The records of the recruitment of the newest member of staff showed that the home had carried out checks to make sure they were suitable. A Criminal Records Bureau check had been done and references obtained. The home keeps a record of training staff have done and the training they need to do in the future. Staff have had the essential training they need to work safely but some need refresher training. Staff said that they have had extra training to give them more understanding of the needs of older people, for example on osteoporosis. They said they have received the guidance they need on caring for people with diabetes. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 22 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): Standards 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience and qualifications to run the home. She seeks regular feedback from people who use the home so she can find out if she needs to improve anything. When the home looks after residents money for them, it keeps proper records to make sure the money is handled correctly. The home is maintained as a safe place to live and work, but work to check and upgrade the electrical system needs to be completed. EVIDENCE: The manager has many years experience of running a care home. She has achieved the recommended qualifications for managers of care homes. She has continued to attend training to update her knowledge. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 23 As the manager is the sole owner of the home, she has employed a suitable person to provide information for the monthly reports care homes have to make on the quality of care they are providing. This is good because it means that an independent person is checking that the home is running well and people are satisfied. The manager actively seeks comments from people who use the home and visiting professionals, like doctors and care managers. Many of the current residents would not be able to complete a survey form on their own but the manager said she tries to get comments from relatives every two months. The manager has responded to advice from CSCI about improving the information provided in the contract between each resident and the home. Where residents are not able to manage their money by themselves, either residents or the local council take responsibility for this. The home looks after a small amount of money for them so they have cash available for clothes, hairdressing etc. Proper records are kept of this, including receipts for money spent. The manager said that the local authority had recently checked the accounts for those residents they are responsible for, and found them satisfactory. As the home has been improved over the years, it has been fitted with features to help keep people safe, like low surface temperature radiators. Equipment is serviced and checked regularly. The temperature of hot water at taps used by residents is checked weekly to make sure it is not too hot. The fire safety system is checked weekly and staff receive fire training as part of regular fire drills. Previous inspections have required the owners of the home to provide a certificate confirming the safety of the electricity supply in the building. At the time of this inspection, an electrician was continuing to upgrade the electrical system and it is expected that a final certificate for the whole building will be available in a few weeks. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 24 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 3 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15 Requirement Timescale for action 30/06/07 2 OP12 16 3 OP38 23 Care plans must include detailed information on moving and handling needs, assessments of the risk of pressure sores and information on action taken to prevent or treat pressure sores. The system for recording reviews of the care plan must be changed so that it is clear what current needs are at any time . Staff must look at individual 30/06/07 needs for leisure activities and record in the care plan how these could be met. Any outstanding work required 30/06/07 to upgrade the home’s electrical systems must be completed as a matter of priority. This requirement was made at previous inspections but the home is working towards meeting it. Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 26 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 Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 27 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 Beamish Residential Care Home Ltd DS0000041569.V320621.R01.S.doc Version 5.2 Page 28 - 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!