Inspection on 25/04/05 for Beane River View

This inspection was carried out on 25th April 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 14/09/05

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 Port Vale Hertford Herts SG14 3UD Lead Inspector Jeffrey Orange Unannounced 25 April 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. Beane River View Version 1.10 Page 3 SERVICE INFORMATION Name of service Beane River View Address Port Vale Hertford Herts SG14 3UD 01992 503619 01992 504563 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) Quantum Care Limited Care Home 40 Category(ies) of DE(E) 40 registration, with number OP 40 of places PD(E) 40 Beane River View Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 08 October 2004 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Based on what residents say, records seen and observation during the inspection, there is a good standard of care provided for residents in Beane River View. Staff appear to be well motivated and have achieved good levels of NVQ training. In general record keeping was found to be satisfactory. although the standard can be inconsistent. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beane River View Version 1.10 Page 6 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 Beane River View Version 1.10 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. The pre-admission assessment procedure is robust and provides the home with the information it needs to ensure that a prospective residents’ care needs can be met. The documents and opportunities for visits provided for prospective residents and their families/carers enable them to make an informed decision about the suitability of the home. EVIDENCE: Those care plans seen included satisfactory assessments and the home’s Statement of Purpose, Service user’s guide and additional material provided by Quantum Care to prospective residents and their families were seen to provide the necessary information in an appropriate format. Beane River View Version 1.10 Page 8 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) 7,8,9,10 The standard of care plans seen, including one for a recently admitted resident were generally good. By keeping care plans under review and wherever possible involving residents in the care planning process, care can be person centred and individual. In working towards an external accreditation for dementia care the home and company have set themselves a challenging target which, once achieved, will reflect well on the standard of dementia care offered in the home and their commitment to a process of continual improvement. Most importantly it should bring benefit to residents with dementia. Staff were seen to be talking to residents in an appropriate way, without condescension or lack of respect. Medication records were found to be satisfactory and had improved since the previous inspection. Beane River View Version 1.10 Page 9 EVIDENCE: Care plans were looked at and in the case of one resident who required food to be cut up small, tracked to see if instructions had been carried out. This initially had not been done, but when drawn to the attention of staff was rectified. 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. Some improvement in the detail of risk assessments, for example in respect of choking on food, where this is known to be a risk, and in the day to day monitoring of the action to be taken to mitigate the identified risk is required. (See requirements) Medication records were checked both from the main storage area and on one unit. The procedure and records were found to be satisfactory and represented an improvement since the last inspection for example in respect of the amount of medication held in stock for residents. As part of the home’s decision to apply for external dementia care accreditation, care plans are being reviewed to meet the requirements of the Person Centred Approach. ”They treat us very well” was a typical comment from one resident. Beane River View Version 1.10 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 Considerable progress has been made in putting in place a structured programme of activities with dedicated staff time allocated. This has allowed the development of a more individual, person centred approach to, and a more varied and consistent standard of, activities in the home. Residents are encouraged to maintain family, social and community contacts. EVIDENCE: A very full discussion with the home’s activities organiser “The sky’s the limit…I am very well supported,” observation of activities in progress, including a lively bingo session; “we all win sometimes” and evidence from an activities programme and report which identified areas for further development. (See recommendations) The visitors’ book and discussions with residents; “I am lucky, my family are very good and visit me every week” provide confirmation that the home’s policy for visitors is working in practice. Beane River View Version 1.10 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 standard(s) 16,18 The home has a comprehensive complaints policy and an adult protection policy. The administration system of money held on behalf of residents is robust and subject to audit and regular checks. Residents and their relatives can be confident that their physical, emotional and financial well-being are protected by these policies and their application to the day to day running of the home. EVIDENCE: Financial records were examined and in discussion with the home’s administrator it was clear that adequate check and balances are applied both internally and by Quantum Care. (See recommendations) Staff training includes adult abuse and the steps to take if it is suspected. A recent complaint was dealt with within an appropriate time scale and action Taken to identify the cause of it and prevent any reoccurrence. The CSCI have determined that the complaint was substantiated and that it was dealt with satisfactorily. Beane River View Version 1.10 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 standard(s) 19,20,21,22,23,24,25,26 The overall feel of the home is comfortable and homely, bright and well lit. It is a purpose built home and is generally well maintained, with only some minor issues noted during this inspection. Communal areas like lounges and dining rooms are well furnished and essentially domestic in character. Residents’ rooms are comfortable, include the facilities they should and have been made individual by the use of personal items of furniture, photographs and ornaments. EVIDENCE: “I am very comfortable here” was a comment of one resident and was borne out by observation an in conversation with other residents. There was one area in Magnolia Unit, which has a slight odour problem, this Beane River View Version 1.10 Page 13 was discussed with the manager who was well aware of it and described steps that have and are being taken to deal with it. The bathroom on Magnolia was looking a bit “tired” and had a damaged bath panel and there was one light switch that had no cover. Overall however the home is well maintained and provides a safe and comfortable environment for its residents. Beane River View Version 1.10 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29,30 Staff numbers and skills appear adequate to meet the needs of the current residents of the home. The recruitment procedure of the home is rigorous and provides the necessary checks and information about staff to give residents and their relatives confidence in the quality of staff employed to care for them/their relatives. Quantum Care have a stated commitment to high quality training for its staff and this has been seen to be borne out in practice. EVIDENCE: Staff rotas were seen and discussed with the manager. Staff training records were seen and staff confirmed that they are provided with both routine training and opportunities for personal skills development. The levels of NVQ training achieved or in process by care staff represents approximately 58 which is very positive. 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. Beane River View Version 1.10 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,36,37,38 The focus of the home is increasingly on a structured person centred planning approach, which is a very positive development. The standard of record keeping in the home is in general very satisfactory and provides the necessary safeguards and controls to protect its residents. EVIDENCE: The current manager is in the process of applying for registration with the CSCI in order to meet the regulations that govern the operation of care homes. The health and safety issues raised during the previous inspection have been satisfactorily addressed. Supervision schedules were seen and confirmed in discussions with staff, person centred care documentation was seen and discussed with the manager, Fire extinguishers and hoists were seen to have been serviced as required and appropriate insurance cover was seen to be in place. Beane River View Version 1.10 Page 16 The CSCI receives monthly reports from Quantum Care on the home and surveys are carried out of both residents and their relatives and these are made available. Records of monies managed on behalf of residents were checked and found to be in order. Alcoholic drinks were seen to be stored in a way that could make possible inappropriate access by residents. (This should not be taken to indicate that alcohol should not be available to residents, only that its storage should be on a risk assessed basis to prevent misuse) One resident, whose care plan clearly indicated a risk from choking, did not have their food cut up as set out in their care plan. Beane River View Version 1.10 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x 3 x 3 3 3 2 Beane River View Version 1.10 Page 18 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 OP7.4 Regulation 13(4c) Timescale for action Specific instructions in care plans From relating for example to the 25.4.05 preparation and presentation of and food to avoid risk of choking, thereafter where this has been identified as a potential risk, must be carried out in all cases. Requirement 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 OP12 Good Practice Recommendations Recognising the good start that has been made to improve the activities on offer in the home, the manager should continue to offer practical support and where appropriate and possible within the homes business plan and budget,additional resources, to ensure that the progress made is continued and further developed for example by providing additional training for the activities organiser. To provide additional safeguards for the home and residents, wherever possible receipts should be given or signatures obtained in all cases, for money received on behalf of residents. The storage of alcoholic drinks on each unit should be risk assessed, and appropraite action taken in the light of that assessment to prevent possible harm to residents. Version 1.10 Page 19 2. OP18 3. OP38 Beane River View 4. OP38 The manager should review the practice of regular contractors to ensure that they sign in and out of the home, as all visitors should do this on all ocassions. Beane River View Version 1.10 Page 20 Commission for Social Care Inspection Mercury House 1 Broadwater Road Welwyn Garden City Herts 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. Extracts may not be used or reproduced without the express permission of CSCI Beane River View Version 1.10 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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