Inspection on 12/08/05 for Beaumond House Care Home

This inspection was carried out on 12th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Beaumond House Care Home 12/12/08

Beaumond House Care Home 10/10/06

Beaumond House Care Home 19/01/06

Beaumond House Care Home 14/03/05

Beaumond House Care Home 08/06/04

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

CARE HOMES FOR OLDER PEOPLE Beaumond House Care Home 32 London Road Newark Nottingham NG24 1TW Lead Inspector Susan Lewis Unannounced 12 August 2005 at 10.00 am th 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. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beaumond House Care Home Address 32 London Road Newark Nottingham NG24 1TW 01636 610556 01636 613262 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) Beaumond House Community Hospice Ms C M Smith Older people 4 Category(ies) of Terminally Ill 18 years and over registration, with number of places Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 14/03/05 Brief Description of the Service: Beaumond House is a supportive palliative care unit. Dr Peter Jones is the registered Provider and Christine Smith is the registered manager. The home is located in Newark, close to the local shops, general practitioners’ surgery and other amenities. The home is a converted residential house, which consists of two storeys. The home has two lounges, a conservatory and a separate dining area. The home has four private single rooms. There are two bathrooms, one of which is fitted with a bathing hoist and the other with a Parker bath. There is a passenger lift. The grounds are well maintained and offer a relaxing environment. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during one morning and was carried out by one inspector as part of the annual inspection process. A tour of the building took place as well as staff and residents records looked at, staff and residents were spoken with. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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, 3 and 4 Residents needs are met within this setting. EVIDENCE: The Statement of Purpose was inspected and provided relevant, up to date information regarding the service. Each resident receives a letter stating when their respite is, and which room they will be occupying. Two care plans were looked at for the purpose of this inspection and were found to provide relevant information to enable staff to meet the needs of residents. Daily records and following discussion with both staff and resident, it was evident that residents’ needs were met. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 and 11 Individual plans address residents’ needs and risk assessments are in place to ensure residents are safe. Residents are supported at the end of their life to ensure maximum dignity and control. EVIDENCE: It was evident from the plans of care viewed that residents were involved in drawing up their plans. All residents come to the home for respite care, and at each visit the plan of care is reviewed to ensure it remains relevant. Plans detail how residents’ medical needs are to be met, and a resident spoken with confirmed that a doctor was called whenever they felt unwell. Risk assessments took place and covered areas such as pressure care and nutritional needs. Where residents had a catheter insitu, plans detailed what type of support was needed. District nurses were seen to visit, and staff spoken with said that they felt they had a good working relationship with external professionals. A full inspection was not carried out for medication, however practice observed was safe and showed that medication administration record sheets were held in residents’ bedrooms, and were signed and countersigned by care staff. A resident spoken with said that the care staff were wonderful and the care ‘is first class’. The home follows the Liverpool Care Pathway, which is used when staff feel that residents are in the Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 9 last days of life. This provides a clear process for staff to follow to ensure that both residents and relatives are given the information they need about the care received. One plan viewed provided evidence that relatives were able to be involved in the care process and their views were respected. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 and 15 The lifestyle offered to residents meets their needs providing a flexible environment, where nutritious meals are provided at times convenient to residents. EVIDENCE: The resident spoken with said that they could spend the day as they wished, and although meals took place at set times, they could eat later if they wanted to. Residents could get up and go to bed when they wanted to, and on the day of the inspection two residents were left in bed at their request. Visitors are able to visit when they want and arrangements are made for relatives to stay overnight if they want to. The home offers quiet areas for relatives to use, as well as a small kitchen to make drinks. The home has a number of volunteers and the home is very closely linked with the community it serves. Both residents and staff confirmed that choice was given at all meals times and if a resident wanted something different from the two choices given at lunch this would be provided. If residents felt hungry in the night staff and resident said that a meal would be provided. The kitchen has recently won a Silver Award for ‘high standards above the legal requirements’. Practice within the kitchen was of a very high standard. The cook ensures that anyone entering the kitchen washes their hands prior to touching anything. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 and 18 Residents are protected from abuse by the practices within the home. EVIDENCE: The resident spoken with said they felt confident that if they had any concerns that staff or the manager would deal with it promptly. Staff spoken with understood what constituted abuse and knew what action they should take should they witness anything that raised concern. The home has a copy of the Nottinghamshire Adult Protection policy. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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, 21, 22 and 26 Residents live in a clean and homely environment that is well maintained and has sufficient aids and adaptations to ensure their safety. EVIDENCE: The home was very well maintained and the hygiene was of a very high standard. The residents’ bedrooms provided them with a spacious clean and homely environment. The outside was very well maintained and there were comfortable safe places for residents and visitors to sit. There are plenty of toilets and bathrooms conveniently placed for residents. The sluice room is discreetly placed behind cupboard doors. There are sufficient aids and adaptations around the home including a through floor lift and assisted baths. The laundry is well ordered and ensures residents’ clothes are cleaned and returned in a timely fashion. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 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 and 29 Recruitment practices are robust and maintain the safety of residents. EVIDENCE: There is a rota that shows what staff are on duty and there are sufficient numbers of staff with appropriate training available to meet the needs of residents at any time during the day or night. Staff files were inspected and relevant references police checks and identification are obtained prior to confirming staff in post. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 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) 38 Residents are placed at potential risk by lack of window restrainers on identified windows. EVIDENCE: Although the home is well maintained, and fire drills are carried out routinely as well as check temperatures of water, one room viewed did not have suitable restrainers on the window. The manager must ensure that appropriate risk assessments take place on all windows and appropriate action is taken. There is a list of all available first aiders in the building and staff receive regular mandatory training. Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 3 10 x 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 4 x 3 3 x x x 3 STAFFING Standard No Score 27 4 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x 2 Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 16 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 38 Regulation 13 Requirement The registered person must ensure that all identified windows are risk assessed and window restrainers are fitted as appropriate. Timescale for action 1/09/05 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. Refer to Standard Good Practice Recommendations Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 17 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Beaumond House Care Home C03 C53 S8743 Beaumond House V244501 120805 Stage 2.doc Version 1.40 Page 18 - 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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