Inspection on 14/09/05 for Beane River View

This inspection was carried out on 14th September 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

Beane River View 24/02/09

Beane River View 29/01/07

Beane River View 25/04/05

Beane River View 08/10/04

Beane River View 24/05/04

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

CARE HOMES FOR OLDER PEOPLE Beane River View 1 Beane River View Port Vale Hertford Hertfordshire SG14 3UD Lead Inspector Jeffrey Orange Unannounced Inspection 14th September 2005 09.30 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 Beane River View DS0000019280.V249879.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. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beane River View Address 1 Beane River View Port Vale Hertford Hertfordshire SG14 3UD 01992 503619 01992 504563 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) Quantum Care Limited Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Old age, registration, with number not falling within any other category (40), of places Physical disability over 65 years of age (40) Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 Brief Description of the Service: Beane River View is a purpose built residential care home, located close to Hertford town centre with its leisure, shopping and transport facilities. It is registered to provide personal care and accommodation for up to 40 older people, including those with dementia or physical disabilities and is owned and operated by Quantum Care Limited of 4 Silver Court, Watchmead, Welwyn Garden City, Hertfordshire, AL7 1TS. The home is organised as three units, including one of 16 beds for older people with dementia. Accommodation is provided over two floors, in single rooms, all of which are en-suite. There is a passenger lift and the home is accessible to whelchair users. The home benefits from attractive gardens to all sides, which provide a source of activity and enjoyment for residents and includes an extensive patio area. Beane River View DS0000019280.V249879.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 five hours and provided an opportunity to meet the newly appointed manager and to discuss issues of mutual interest such as the registration process and how she sees Beane River View developing in the future. This is the second inspection of the year and where standards were assessed during the previous inspection of the 25th April 2005, they will not necessarily be commented on again unless there is cause to do so. The main focus of the inspection was discussions with the manager, residents and staff and a check on some environmental and housekeeping aspects of the home. This was a very satisfactory inspection, the care outcomes seen were good and this view was supported by the homes’ residents. ”We are very well looked after” was one comment made. There were very supportive and positive views expressed by both staff and residents about the new manager and the previous good standard of record keeping and care practice has been maintained. What the service does well: What has improved since the last inspection? Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 6 Staff morale is said to be improved following the disruption, which inevitably follows a period of substantial change. Whilst not necessarily improved, credit should be given when previously good standards in care practice are maintained. 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. Beane River View DS0000019280.V249879.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 Beane River View DS0000019280.V249879.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 during the inspection of the 25th April 2005 and full details can be found in the report of that inspection which is available in the home or on the CSCI website. EVIDENCE: Beane River View DS0000019280.V249879.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): 7,9 &10 The standard of care plans seen, including those for recently admitted residents remain generally good. This should provide staff with the information they need to be able to know what the resident’s needs are and what help they require. Residents spoken to were very positive both about the standard of care they receive and also the way that it is given. There were sufficient serious errors in some areas of medication to raise concern about the standard of monitoring. EVIDENCE: A sample was taken of Care plans to monitor content and the standard of recording, both of which were satisfactory. Staff and resident interaction was seen to be relaxed and respectful throughout the inspection. Medication records checked included some errors where medication was not being given as prescribed. Beane River View DS0000019280.V249879.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): 12,14 & 15 The standard of food was commented on generally very positively and residents meetings, held regularly, enable residents to express their point of view about food and any other issues that affect the way that the home is run and operated. Activities are continuing to be developed in line with the wishes and preferences of residents. EVIDENCE: Observation of meals on each unit during the inspection, looking at menu choices displayed and records of meetings held with residents and above all from talking with residents. Details of activities were discussed with the activities organiser, activity programmes were seen and records of events held were seen as well as being observed on the day of the inspection. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 11 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): The key standards were assessed during the inspection of the 25th April 2005 and full details can be found in the report of that inspection which is available in the home or on the CSCI website. EVIDENCE: Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 12 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 & 26 In general the home is comfortable and provides a pleasant environment for those living and working there. The storage of linen, ancillary items etc was sometimes untidy and inappropriately sited, for example in bathrooms, and these could be rendered more pleasant for residents if surplus furniture was removed and surfaces tidied. Some areas need to be re-carpeted to recognise the increased use they now experience. EVIDENCE: Storage of some linen was untidy and presented some risk of infection. Bathrooms were cluttered and items such as incontinence pads were on display, whilst some furniture was stained and/or apparently unused. Carpets in two lounges, now used more following the designation of a dining/lounge as an exclusively dining room require upgrading as they are marked or stained. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 13 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): 28 Staff numbers and skills appear adequate to meet the needs of the current residents of the home. EVIDENCE: The recruitment file of a recently appointed member of staff was looked at in detail and found to be satisfactory, with all the necessary checks and records completed. Staff spoken with during the inspection were positive about the availability of training. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 14 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): 32 & 38 The newly appointed manager has the experience and ability to successfully take the home forward, and is being well supported by her management team and staff as well as by the residents. As the errors found in respect of medication were serious, if only few, Standard 38 cannot be assessed as fully met on this occasion. EVIDENCE: Those staff and residents spoken with during this inspection were positive about the efforts made by the new manager. Staff spoken to said that morale had improved following a period of necessary change, which, as was to be expected, proved challenging for those affected. For details of medication see comments against Standard 9. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 15 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X X X X 2 Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 16 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 OP9 Regulation 13(2) Requirement Medication administration practice and recording must be monitored to ensure that the medication prescribed is being correctly administered. Linen must be stored in a way that does not present a risk of infection. Bathrooms must be cleared of any surplus or excessive ancillary items and due care and attention given to the creation of an acceptable appearance and environment for residents using them. Timescale for action 14/09/05 2 OP19 23(2)(l) 30/10/05 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 2 Refer to Standard OP9 OP19 Good Practice Recommendations In order to ensure that medication is being stored at the correct temperature, consideration should be given to the recording of all medication storage on a routine basis. The replacement or refurbishment of the floor coverings in DS0000019280.V249879.R01.S.doc Version 5.0 Page 17 Beane River View the activity and television rooms on Magnolia unit should be actively considered. Beane River View DS0000019280.V249879.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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. 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