Inspection on 22/11/05 for Beauley Lodge

This inspection was carried out on 22nd November 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

Beauley Lodge 01/11/07

Beauley Lodge 08/11/06

Beauley Lodge 13/06/05

Beauley Lodge 03/02/05

Beauley Lodge 14/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Beauley Lodge Lumley New Road Fencehouses Durham DH4 6DN Lead Inspector Mr Stephen Ellis Unannounced Inspection 22nd November 2005 1:00 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 Beauley Lodge DS0000007454.V253596.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. Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beauley Lodge Address Lumley New Road Fencehouses Durham DH4 6DN 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) 0191 3857182 0191 3859123 Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons) Christine Sylvia Wilson Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Old age, registration, with number not falling within any other category (36) of places Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th June 2005 Brief Description of the Service: Beauley Lodge is a well-established care home for older people, with or without dementia. It is provided by the Four Seasons Health Care Group. All bedrooms are singles, located on the ground floor. There is an inner garden/patio area that is secluded and sheltered from the wind. There are planted borders and sheltered seating in this garden, plus easy access to and from the home. There are a good number of lounges that may be used for various activities, plus a spacious dining room. The home is committed to the values and principles underpinning good care practice, such as the importance of privacy, dignity and choice in daily life. The home aims to promote residents’ quality of life through its philosophy and practice of care. Beauley Lodge DS0000007454.V253596.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 4 hours. The inspector looked around the building and spoke to 11 residents, 5 staff and the manager. He inspected a number of records that are required to be kept. What the service does well: What has improved since the last inspection? Advice has been obtained from the Fire Authority and improvements have been made to fire safety (for example, type of fire extinguishers and their location). Supervision sessions and appraisal for care staff are well under way. ‘Life story’ work with residents has started. The standard of decoration and furnishing is improving, especially in lounges and the dining room. Staff morale and teamwork is strong. Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beauley Lodge DS0000007454.V253596.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 Beauley Lodge DS0000007454.V253596.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): 3. All residents have had a full assessment of their needs, prior to their admission, and have been assured that the home will meet those needs. EVIDENCE: Residents said that they were happy with the services and facilities provided, especially the care, and felt that the home was able to help them appropriately. Three care plans that were examined showed attention to detail and covered all of the important areas to do with health and personal care. They showed that people’s care needs had been thoroughly assessed. Beauley Lodge DS0000007454.V253596.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, 8 and 10. Good arrangements are in place for residents’ health and personal care. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: Residents said that they felt their health and personal care needs were well met. They felt their views were taken seriously and they were treated courteously, with respect shown for their individuality and privacy. As one resident said: “Staff are exceptionally good; definitely a happy atmosphere; staff and manager are helpful and approachable; we like Beauley Lodge.” Another resident said: “Chris (manager) takes such an interest in us; the girls (care staff) are nice, really good.” The records of residents’ care needs and plans of care were comprehensive and detailed in the three examples examined. They addressed the health and personal care needs of the people concerned. They provided useful written guidance to care staff, as confirmed by staff and manager. The plans of care were being reviewed monthly, as required. Care staff expressed confidence in their understanding of residents’ needs and their ability to provide for them. For example, they said they had the Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 10 necessary equipment within the home (e.g. aids and adaptations) plus access to primary health care teams and specialist services when required. Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 11 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 and 15. There are good arrangements for daily life and social activities, especially catering, which is particularly well regarded by residents. EVIDENCE: Many residents said they liked the atmosphere in the home, describing it as being peaceful, friendly, supportive and caring. They liked the small groups in the four lounges. They were free to sit in any lounge, in their own bedroom, or in the reception area or dining room. There is a varied programme of social and recreational activities coordinated by the activities organiser. These include visiting entertainers, craftwork (for example, residents have been making their own Christmas cards recently), music and movement, board games, occasional outings, film shows (for example, videos) and some lifestory work. Residents said they could receive visitors at any reasonable time and could go out with relatives or friends if the opportunity arose. Some residents preferred to read, do art, or watch television. All were satisfied with the arrangements for daily life in the home. All the residents spoken to said the catering was very good. There was a good choice and the Cook understood their preferences. They particularly liked the Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 12 home baking (also enjoyed by the inspector on the day). A cooked breakfast was available for those who wanted one. Residents mainly dined together in the dining room that is currently being refurbished. They could, however, eat their meals elsewhere and at different times if required. Records are kept of meals served, available for inspection. Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 13 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): 18. Residents are protected from abuse. EVIDENCE: Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to try to ensure that unsuitable people are not employed to care for vulnerable adults. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. Over the past year, most care staff members have completed Protection of Vulnerable Adults training, which has been wide-ranging in its coverage of the topic. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident and these features reinforce the caring culture and provider policies concerning adult protection. Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 14 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): 26. The home is clean, pleasant and hygienic. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. A programme of redecoration to dining room and lounges was in operation, designed to enhance the visual environment for residents. Care staff have completed training in Infection Control and, where appropriate, Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Since the last inspection, new fire extinguishers have been installed. Beauley Lodge DS0000007454.V253596.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): 28 and 29. Residents are in safe hands at all times and they are supported and protected by the home’s recruitment policy and practices. EVIDENCE: At the time of inspection, there were 24 residents being accommodated, including 13 older people with dementia. Residents and staff said that staffing levels and mix of staff skills were suitable for the needs of residents. For example, there is always one senior care assistant on duty on each shift and 50 of care staff members have completed NVQ level 2 or above. More care staff members are looking forward to tackling NVQ level 2/3 in the near future. Staff recruitment and training is designed to ensure safe, competent staff members are employed. Appropriate pre-employment checks are carried out, as described in the ‘Complaints and Protection’ section of this report. Comprehensive staff induction and foundation training is provided. Staff members said that the staff training programmes were suitable for their needs. Staff members confirmed that they had formal supervision sessions and appraisal, plus staff group meetings with the manager. The home has written policies that support and guide staff recruitment, supervision and training. It is likely that care staff would benefit from further dementia care training, such as ‘Positive Dementia’, which is desirable in this setting. Beauley Lodge DS0000007454.V253596.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, 35 and 38. The manager of the home is fit to be in charge, of good character and able to discharge her responsibilities fully. Residents’ financial interests are safeguarded in those situations where the home is involved. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: The registered manager is experienced and competent in her role. Residents and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. She expects to complete her Registered Manager’s Award at NVQ level 4 by December 2005. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in Beauley Lodge DS0000007454.V253596.R01.S.doc Version 5.0 Page 17 which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home looks after residents’ monies, such as pocket monies, clear individual records are maintained. The pooled banking of such monies is made clear in writing to residents and their representatives. In these circumstances, any interest earned on the pooled bank account, is paid into the Residents’ Fund, for the benefit of all residents. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. Residents and staff expressed satisfaction with the way the home was run and the good standards that were evident in many instances. They said they believed the home was safe and run in the best interests of residents. Staff training in health and safety matters such as food hygiene, moving and handling and infection control, reinforce the registered provider’s written policies. Beauley Lodge DS0000007454.V253596.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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 x x x x x x x 3 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x 3 x x 3 Beauley Lodge DS0000007454.V253596.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. Standard Regulation Requirement Timescale for action 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 OP30 Good Practice Recommendations Staff training in dementia care, such as ‘Positive Dementia’, is desirable and likely to enhance care practice. Beauley Lodge DS0000007454.V253596.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 Beauley Lodge DS0000007454.V253596.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!