CARE HOMES FOR OLDER PEOPLE
Beamish Residential Care Home Ltd Old Vicarage West Pelton Stanley Durham DH9 6RT Lead Inspector
Mrs Pat English Unannounced Inspection 6th February 2006 10:15 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.V272606.R01.S.doc Version 5.0 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.V272606.R01.S.doc Version 5.0 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 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) Mr Edward Robinson Bell 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.V272606.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th September 2005 Brief Description of the Service: Beamish Care Home provides personal care and accommodation for 21 older persons. Beamish Care Home was once an old vicarage and was built in 1882. It was converted to a residential care home and underwent extensive refurbishment before it was registered in 1987. The home now trades as a limited company, Beamish Care Home Ltd. and the directors are Mr. Edward Bell and Mrs. Marie Murray (who is also the registered manager). The home is located on the outskirts of the village of West Pelton in a private residential area and is surrounded by attractive and well maintained grounds which are accessible to service users. It is next to a church and close to shops, and other amenities in the village. The home has two double and seventeen single bedrooms which cover two floors and can be accessed via a passenger lift or stairs. Communal facilities and service areas are located on the ground floor. There are no en-suite facilities but an adequate amount of bathrooms and toilets are provided. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a period of approximately five hours. The manager and proprietor assisted during the inspection and comments were received from three members of staff, four residents and four visitors. One written comment card from a visitor was also received. On this occasion the inspector looked at a total of twelve core standards which were not assessed on the last inspection, these mainly concerned the Environment, Complaints, Management and Administration and Social Activities. What the service does well:
It was clear from all the comments received that there is a high degree of satisfaction with the home and the standard of care provided and that both staff and management are well thought of. Many commented on how they are “always made welcome with a cup of tea and biscuits” and how the home is “always very clean and tidy”. The management team and staff were said to be “approachable, knowledgeable and respectful” and one relative remarked “the home gets my highest recommendation as do the staff who are friendly and helpful”. Many of the staff have worked in the home for a long time and staff who gave their views during this inspection said how much they enjoyed it and how they “all get on and work as a team”. Residents said that they “get a lot of attention” and “I couldn’t wish for anything better”. Two of the visiting relatives endorsed this view and said how their family members were “very well cared for” and that “staff work hard and do a good job”. Comments made about the food were all very positive and the menus showed that there was a balanced and nutritious diet with plenty of choice. Comments such as “the food always looks well presented” and “the food is varied, tasty and wholesome” are examples of those received. The manager has shown some good results in seeking the views of residents, families and visitors about the home and the standard of care. A considerable number of people have been able to express their views through the use of comment forms and individual meetings with the manager. There was plenty of recorded evidence to show that people were satisfied that they were “listened to” and the manager was said to “have the residents at heart”. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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.V272606.R01.S.doc Version 5.0 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 the following standard(s): These standards were assessed on the last inspection. EVIDENCE: Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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 the following standard(s): These standards were assessed on the last inspection. EVIDENCE: Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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 the following standard(s): 12 to 15 Residents’ individual abilities, expectations and preferences are taken into account when planning activities and social events both inside and outside of the home. Social activities are creative and provide stimulation and interest for residents in the home. Meals are nutritious and balanced and offer a healthy and varied diet for residents. EVIDENCE: Activities were being planned on a weekly basis and included a variety of indoor and outdoor recreational and social activities. Details of each resident’s social, religious and recreational interests are included in their care plans. A sample of the activities included board games, indoor bowls, singing, videos and chair exercises. There was a strong emphasis on organising social events where relatives are invited to join in such as coffee mornings, sherry and wine evenings, fish and chip or pie and peas suppers. Relatives were also invited when outside entertainers such as magicians and singers are brought in and a buffet is often supplied. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 11 Many of the residents came from the surrounding area and they are given the opportunity to visit the local pubs for a meal and to go on arranged outings where relatives are also invited. The home is regularly visited by the local vicar and Salvation Army. Visitors who gave their views during the inspection said how “they are always made welcome and are offered a cup of tea and biscuits”. One visitor said how she notices that the staff “chat and joke with her mother” and another said how the home has “a nice atmosphere and everyone is so friendly”. Menus show that a balanced and nutritious diet is provided with plenty of choice. Residents are consulted every day about their choice on the menu. Comments about the food from several residents and relatives were all complimentary, such as “the food is varied, tasty and wholesome”, “the food is excellent, I always have a clean plate”. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18 Residents and relatives are confident that their concerns will be listened to, taken seriously and acted upon. The policies and practices of the home ensure that residents are safeguarded from abuse or harm. EVIDENCE: The staff training programme included appropriate training courses in the safety and protection of vulnerable adults and it was evident that all staff were enrolled on these courses as a matter of priority. It was noted that the deputy manager had recently been confirmed as a qualified trainer on the subject of abuse and will be arranging in-house courses on the subject. There have been no complaints to record. Relatives and residents had written numerous comments in a comments book, and evidence from this book and comments from visitors during the inspection, confirmed that they felt able to express their views freely to the manager and staff. They said that the manager “always keeps in contact” and is “approachable and always listens”. The numerous vies expressed by both residents and relatives confirmed that the manager and staff were “always very helpful” and that they responded positively to any requests or queries they may have. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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 the following standard(s): 19 and 26 The standard of the environment within this home is good providing residents with an attractive, comfortable and safe place to live. EVIDENCE: The home was found to be clean and free from unpleasant odours. It is tastefully furnished and decorated in an attractive domestic style. Residents’ bedrooms were equipped to meet their individual needs and many had brought personal items with them to make their rooms homely and comfortable. Many relatives, visitors and residents remarked on how the home was “always very clean and tidy”. There is an ongoing maintenance and refurbishment programme in place and the grounds are well maintained and safe. A number of recent improvements have been made in the home which include a new “call system” and sensors to alert staff, upgrading the heating system and completing the programme to replace all windows with double glazing units. There was evidence of bedrooms being redecorated and re-carpeted as they became empty.
Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 14 The laundry and kitchen facilities were in good working order and it was noted that the laundry room had been refurbished to provide improved storage space. Staff commented on how this had this had been “a big improvement”. There were satisfactory procedures in place for control of infection and the safe handling and disposal of clinical waste. Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were assessed on the last inspection. EVIDENCE: Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 There is effective leadership, guidance and direction of staff to ensure that the home is run in the best interests of residents. There are effective systems in place for seeking the views of residents, family, friends and health and social care professionals in the community, with a variety of evidence that their views are both sought and acted upon There are safe working practices operating within the home that promote the health, safety and welfare of residents and staff. However, fire safety procedures have not been strictly followed and this could pose a potential risk to residents. EVIDENCE: The manager is supported by a deputy manager and two senior care workers. The registered provider is also very much involved in the daily running of the home. Comments from staff, relatives and residents indicated that the system
Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 17 works well. Many of the staff have worked in the home for a long time and those who gave their views during the inspection said that they “all get on and work as a team”. Relatives said “the home gets my highest recommendation” and “the whole feel of Beamish is one of comfort and concern”. Both the manager and deputy manager have a National Vocational Qualification (NVQ) level 4 in management and care. Staff said that they both give them “good support” and they have regular staff meetings as well as supervisions and yearly appraisals. Written comments made by care managers visiting the home said that staff are “friendly, approachable, knowledgeable and respectful”. The manager was putting a lot of effort into seeking the views of residents, relatives and visiting health and social care professionals. Their views are sought through individual meetings with relatives and residents and through the distribution of comment forms. These forms are given out to all who visit the home on a periodic basis. There was plenty of recorded evidence to show that these systems have produced a good result and the manager stated that she is very pleased with the way it is working. Residents’ personal finances were being handled satisfactorily. There was an ongoing maintenance programme in place for the servicing of equipment and maintenance of heating and electrical systems etc., and it was evident from the maintenance contracts and service certificates that that the programme was kept up to date. However, although checks have been done on the electrical systems, there is some outstanding work to be completed before the certificate is granted. This work must be completed as a matter of priority The staff training programme included the required Health and Safety training such as Fire Safety, First Aid, Moving and Handling, Infection Control and Food Hygiene and records showed that this was kept updated. Fire drills and fire alarm checks met fire safety regulations. However, during a tour of the building it was noted that some bedroom doors were wedged open at the residents’ request. This practice is against fire safety standards and advice must be sought from the Fire Safety Officer on how to resolve this problem in compliance with fire safety regulations. It was agreed that immediate action would be taken to resolve this issue. . Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 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 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 3 X 2 Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 Page 19 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. 1. Standard OP38 Regulation 23 Requirement Any outstanding work required to upgrade the home’s electrical systems must be completed as a matter of priority. Fire doors must not be wedged open. A suitable device must be fitted which complies with fire safety regulations and will allow residents’ doors to be kept open. Timescale for action 31/03/06 2 OP38 23 06/02/06 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.V272606.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Darlington Area Office 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 Beamish Residential Care Home Ltd DS0000041569.V272606.R01.S.doc Version 5.0 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. 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!
