Inspection on 29/01/07 for Beane River View

This inspection was carried out on 29th January 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 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 14/09/05

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 Mrs Jan Sheppard Unannounced Inspection 10:00 29 January 2007 th 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.V314044.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. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 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) www.quantumcare.co.uk Quantum Care Limited Emma Corsbie-Smith 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.V314044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may admit one named service user under the age of 65 years for residential care. 14th September 2005 Date of last inspection 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 wheelchair 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. The current fees range from £400 to £540 per week. Information about the home and the services it offers is contained in its Statement of Purpose and Service Users Guide. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day when one inspector met with the manager, deputy manager and other staff on duty and with all the residents. A tour of the building was undertaken and care and administration records were checked. This report reflects the observations made in the home on that day and also takes account of the information gathered from the pre inspection questionnaire recently completed by the homes manager, details given in some twenty three questionnaires completed by the residents and relatives and of other information periodically sent to the Commission from the home. One questionnaire from a relative said “My Mother was in two other homes previous to Beane River View and they did not meet anywhere near the standards of caring that my Mother now receives. It really is home from home.” This was a positive inspection. Requirements and recommendations made following the last inspection were found to have been met. Two requirements are made following this inspection. What the service does well: What has improved since the last inspection? Since the last inspection the planned programme of refurbishment works have continued with redecorations new carpets and furnishings in some of the communal areas greatly improving the ambience of the home. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 6 The recently appointed new manager and deputy manager have concentrated on developing a cohesive staff team and by fully involving them in discussions as to developmental changes for the home have helped to boost morale within the home. 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.V314044.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 Beane River View DS0000019280.V314044.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standard 6 is not applicable as this home does not accept residents for intermediate care. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The care needs of all prospective service users are fully assessed by the manager before visits to the home or decisions about admission are taken. EVIDENCE: The homes pre admission policy and procedures are fully compliant with the requirements of these standards and were seen to have been followed for residents recently admitted to the home. Those who spoke to the inspector said that their admission process had been handled sensitively by the staff and had proceeded at a pace that suited them. “ Of course I would rather not be here at all “, one new resident told the inspector, “ but needs must and Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 9 everybody has been very kind and I am beginning to feel more settled” she concluded. Pre admission needs assessments are reviewed after approximately six weeks in residence to ensure that any changing needs are fully met. Assessments and reviews include relatives when ever the resident wishes for their involvement. The homes Statement of Purpose and Service Users Guide has been updated so as to accurately reflect the recent staff changes in the home. Beane River View DS0000019280.V314044.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care needs are set out in the residents individual care plans. Prompt access to Health professionals is available when needed. Residents were found to be treated with dignity and respect. The homes policy and procedures for the storage and administration of medication were found not to be being fully adhered to. EVIDENCE: Residents spoken with were very positive about the standard of care they receive and of the manner in which this was delivered to them. The inspector noted that time and consideration was given to the residents by the staff who acted in a very calm and kindly manner when delivering personal care and assistance. One staff member said, “ I always try to work in a way that helps the resident retain their dignity and respect.” It was noted that staff worked Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 11 well together as a team and that real efforts were being made by them to promote a friendly, calm and relaxed atmosphere within the home. Care plans examined were found to be variable in their quality and detail of recording and with the arrangement and organisation of the various sections of information contained in the plan. While some staff had a clear understanding others did not have such a good grasp of the care planning process and several could not evidence good ownership of the pressure wound care plan notes compiled by the visiting nurses. The inspector discussed with the homes managers how these nursing notes could be better incorporated into the daily care plans and records for the affected residents so that all the staff could have ownership of them. The training records evidenced that all staff who administer medication have been trained to do so and these records also evidenced that refresher training is also on going. Medication was found to be appropriately stored in a central locked room, and is taken to each unit as required in the unit medication trolley. The medication administration record sheets examined were generally found to be satisfactorily recorded with appropriate daily management checks being undertaken to pick up any errors. However one administration error was noted being made during this inspection although the staff member concerned could evidence good knowledge of the procedures that she should have been following. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 12 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): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home provides a variety of activities which are planned so as to meet the varied needs of the residents. Relatives and visitors are always welcome in the home. Good quality and nutritious food is provided but additional ways of achieving a nutritional balance for residents with dementia should be considered. EVIDENCE: The range of activities available in the home has increased since the last inspection. The activity organiser visits all the residents to seek their views about what activities they would like and how these should be arranged. She then compiles a weekly written programme, which is distributed to them individually so they can choose what to participate in. An exercise class was held on the day of this inspection using equipment that had been purchased using a recent donation from a relative. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 13 It was seen that many visitors and relatives were visiting the home on the day of this inspection. All those who spoke with the inspector expressed their satisfaction with the home, complimented on the hard working staff and the approachable management team. One relative explained how upset she had been at having to leave her parent in residential care but said that the staff were able to anticipate her feelings and spent time talking and supporting her over several weeks which she found very helpful. Fortunately she concluded, “my relative has settled here very happily”. The home could evidence its various links with their local community, school groups churches etc. and several visitors confirmed to the inspection that the home has a good reputation in the area. Without exception all residents spoken with were complimentary about the food. The cook regularly consults with them and tries out recipes of their choice. Food was said to be served hot and was always very tasty; that seen to be served on the day of this inspection looked appetising. Residents who needed help with their feeding were given this in a discrete manner by the staff, enabling them to retain as much of their feeding independence as possible. The difficulties of ensuring a nutritionally balanced intake of food for the residents with dementia were discussed with the homes manager. It is recommended that alternative and additional ways of delivering food to these residents is tried with more finger food being available at all times. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 14 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. Quality in this outcome area is good. This judgement has been reached using available evidence including a visit to the service. The home has a robust complaints procedures and follows the Adult Safeguarding procedures as set out in the Hertfordshire Joint Agency Guidelines. EVIDENCE: There have been no formal complaints since the last inspection. Staff and residents spoken with had a good awareness of the complaints procedure. One resident said “ I would first speak to the Manager if anything was wrong and I think that she would sort it out”. Since the last inspection the home has received a number of compliments. Several complimentary letters from relatives were shown to the inspector along with a very positive article recently published (January 07) in the local newspaper. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 15 One incident concerning Safeguarding Adults had arisen in the home since the last inspection. The records relating to the joint agency meetings concerning this incident evidenced that the homes managers dealt with this difficult situation promptly and followed the correct procedures so as to ensure the safety of the residents. The Manager in her discussions with the inspector was able to evidence what lessons had been learnt from this incident and the measures put in place to prevent a re occurrence. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. The home was purpose built, meets the space and facility provision standards and is well appointed. It is subject to a regular routine maintenance programme and provides a safe environment for its residents. However on the day of this inspection one area was found not to be entirely free from odour and one requirement made at the last inspection concerning the bathrooms had only been partially met. EVIDENCE: On the day of this unannounced inspection the home was found to be clean and tidy. The communal areas were generally well decorated and had comfortable homely furnishings. The residents bedrooms were also attractive and homely, each being personalised by the resident with their own belongings that reflected their own tastes and had furnishings and equipment that met Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 17 their individual requirements. Residents spoken with all said that they were very happy with their rooms. The reasons for an identified bedroom that was found to have odours associated with incontinence were discussed with the Manager. A requirement is made that this is remedied. Some of the bathrooms were found to be being used to store excessive ancillary items, which detracted from their homely appearance and the environment expected by residents when taking a bath. The requirement made at a previous inspection (for action by 30/10/05) must be better met. However, a requirement has not been repeated in this report as clearly there has been some improvement. Specialist equipment is provided for each resident to meet their particular needs following an OT assessment. This promotes the residents ability to retain their independence for as long as possible. The gardens surrounding this home were looking particularly attractive and spring like on the day of this inspection which was very sunny. Several of the residents made comment about these gardens to the inspector particularly mentioning the recent landscaping works undertaken by the Princes Trust when new raised flower beds and a pergola were constructed. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 18 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): 27,28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is adequately staffed with a mix of experienced and qualified staff who seemed to be positive about their work and to work well together as a team. The home has robust policies and procedures for the recruitment of staff which ensure the proper protection for the service users. EVIDENCE: Staff were seen to be working well together as a team and to be providing support for the residents in a kindly unhurried manner this allowing them to do as much for themselves as it was safely possible for them to do. Staff were found to be familiar with the needs of the residents and a good rapport was seen to exist between them. Several residents commented to the inspector that the staff were very kind. One said, “ I have known some of these girls for years. It’s nice that they are here to look after me”. Many of the residents come from the locality around Hertford and many of the staff do also having long associations with this area. Staff confirmed to the inspector that they were well supported by the homes manager’s received regular supervision and had good training opportunities. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 19 The home offers good internal training with each staff member having an individual annual training needs profile with mandatory repeat training courses being monitored closely. The number of staff attaining NVQ level 2 has increased over the past year. One member of staff who spoke very positively about the Dementia Care training that she had recently undertaken commented that she wished that there could be more staff on the dementia care units so that what she had recently learnt could more easily be put into practice. The records examined relating to recent staff appointments evidenced that the home was following its stated procedures with the required checks being carried out prior to appointment being made this to ensure the safety of the residents. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 20 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 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is run in the best interests of the service users. The registered manager provides strong leadership with in the home. The health and safety of the residents is promoted by the homes good maintenance of its safety checks and procedures. EVIDENCE: Since the last inspection the recently appointed manager has been registered with the CSCI as the Registered Manager for this home. She is an experienced manager and has attained the required qualifications, NVQ level 4 and the Registered Managers Award. Following the retirement of the previous, very Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 21 long standing, deputy manager in December last, a new deputy manager commenced duties later that month. He has had very many years experience working with older people and in the management of residential care homes. He holds professional qualifications NVQ at levels 2 and 3. Staff and residents spoken with during this inspection were all very positive about the homes new managers and said that changes being introduced were discussed and that they appreciated the improvements that were being made. Staff confirmed that their morale had improved considerably and that they felt themselves to be very well supported by their managers who were always approachable and helpful. The records relating to fire testing, the monitoring of water temperature, risk assessments for the environment and safety checks for the homes equipment were found to be well maintained. The service users financial interests are safe guarded by the adherence to the homes financial procedures and the random checks made to residents accounts found that these all tallied. Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 22 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 x x x x x 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 23 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 OP26 Regulation 16 (2) (k) 13 (2) Requirement Timescale for action 30/04/07 2 OP9 The registered Manager must ensure that all areas of the home are kept free from the odours associated with incontinence. The registered Manager must 28/02/07 ensure that all records of medicines administered are accurate. 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 Beane River View DS0000019280.V314044.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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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