Inspection on 19/01/06 for Beaumond House Care Home

This inspection was carried out on 19th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 12/08/05

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 Beaumond House 32 London Road Newark Nottinghamshire NG24 1TW Lead Inspector Susan Lewis Unannounced Inspection 19th January 2006 10:15 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 Beaumond House Care Home DS0000008743.V271824.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. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beaumond House Care Home Address Beaumond House 32 London Road Newark Nottinghamshire NG24 1TW 01636 610 556 01636 613 262 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) Beaumond House Community Hospice Christine Mary Smith Care Home 4 Category(ies) of Terminally ill (4) registration, with number of places Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th August 2005 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 DS0000008743.V271824.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection to be carried out in the inspection year and was carried out by one inspector. A partial tour of the building took place and staff and care records were inspected. Staff and residents were spoken with as well as visitors. 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 DS0000008743.V271824.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 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 the following standard(s): 2 and 5 Prospective residents are assured that they will receive a written contract and know what services they can expect prior to moving to the home. EVIDENCE: Three care plans were viewed and each plan had a signed copy of a letter that constituted a contract between the home and the resident. The letter detailed what bedroom the resident would be occupying for the duration of their stay and what services they could expect. This ensures that any prospective resident enters the home knowing exactly what to expect. As many residents are also day care users most have an opportunity in visiting the home prior to actually coming for respite, some residents are admitted as what is termed ‘SOS’ and would not have had a pre admission visit. However is all cases the registered manager visits the prospective resident in their home prior to them being admitted for respite. This was evident from inspecting care plans. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 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 the following standard(s): 10 Residents are assured that their privacy and dignity is maintained at all times. EVIDENCE: All residents spoken with confirmed that staff were ‘lovely and kind’. All residents spoke very highly of staff and said their privacy and dignity was respected. Staff always knocked on the door before entering and staff spoken with confirmed that this was standard practice. Residents and staff confirmed that care and medical treatment was only given in residents’ bedrooms and residents said they felt respected. The home follows a care approach known as ‘Liverpool Care Pathway’. This is implemented particularly where residents are close to the end of their life. This is a multi-layered approach to ensuring that residents receive the right type of support and that their privacy and dignity is maintained throughout their stay. The home has recently undergone an audit of this system and the overall outcome was very positive. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 9 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): 14 Residents are able to maintain choice and control over their lives during their respite stay. EVIDENCE: As the home only provides respite, residents’ monies are not looked after by the home. Residents spoken with said that they were aware the home maintained files regarding their care, but said that they did not need to see them. All residents spoken with said that they were able to choose how they spent their day and felt in full control of their lives whilst in the home. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 10 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): EVIDENCE: These standards were fully inspected at the last inspection however staff spoken with fully understood what constituted abuse and what to do about it if witnessed and residents spoken with said they felt safe and well cared for by staff. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 11 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): 23, 24 and 25 Bedrooms meet the needs of residents. EVIDENCE: The home provides sufficient space to enable residents to have their needs met in the bedrooms. Where residents have a higher level of need a bedroom is available that provides more space to ensure that if required relatives are able to stay over night. There are no shared bedrooms and where ensuite is not provided there is a commode, however all bedrooms are close to bathroom and toilet facilities. All bedrooms are decorated to a high standard in a homely fashion and provide residents with a lockable facility to store medication and plenty of electric sockets to minimise the risk of trailing cables. Bedrooms are centrally heated and water is delivered at approximately 43oC. Bedrooms are well lit, with overhead lights and spot lamps so residents may read if they wish. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 12 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, 29 and 30 Residents are protected by the recruitment procedures and staff training. EVIDENCE: Evidence was seen that staff receive regular training and are encouraged to access NVQ level 2 training and some staff are progressing towards NVQ level 3. Staff spoken with said that they were encouraged to attend training and evidence was seen on the staff notice board of up coming training that staff could apply for. Staff files viewed evidenced that mandatory training such as First Aid and Food Hygiene were regularly up dated. Information such as Criminal Records Bureau checks were recorded on a central computer and for some staff did not record the actual ID number of the check. However this was now routinely done and evidence was seen that for more recently employed staff appropriate records were being made. All staff files viewed showed that references were being sought and staff were recruited following appropriate employment legislation. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 13 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, 32, 33, 34, 36, 37 and 38 EVIDENCE: The registered manager has been the manager for several years and has previous experience as a qualified nurse in the NHS. She regularly undertakes training to ensure she remains up to date with current good practice. Staff spoken with spoke positively about the management team saying that each had their strengths and skills. Staff were aware of the standard of care that was expected of them. The manager ensures that any requirements that are set at inspections are met within agreed timescales. The registered person does not send visit reports as required by regulation 26 of the Care Homes Regulations ensuring that the Commission is aware of the registered persons continued involvement with the home. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 14 As mentioned previously the home was recently audited for the ‘Liverpool Care Pathway’. This was a very detailed audit that covered all aspects of the care provided to residents who were placed on this approach. The audit showed a clear improvement from the baseline assessment that was carried out at the start of their using this method to current practice. The home has suitable insurance cover against loss or damage. Staff supervision files were inspected but those viewed were not up to date. Some staff had not had supervision for over a year. The registered person must ensure that all staff receive supervision as detailed in standard 36 of the National Minimum Standards. All records are stored appropriately and are kept up to date ensuring the efficient running of the home. A requirement was set at the last inspection regarding the window restrictor in one of the bedrooms, evidence was seen to show that this requirement was met. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X 3 4 3 X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 X 2 3 3 Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 OP36 Good Practice Recommendations The registered manager should record all staff supervision. Beaumond House Care Home DS0000008743.V271824.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Nottingham Area Office 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 DS0000008743.V271824.R01.S.doc Version 5.0 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. 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. 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