CARE HOME ADULTS 18-65
Beaumont College Slyne Road Lancaster Lancashire LA2 6AP Lead Inspector
Mrs Marie Cordingley Unannounced Inspection 1st October 2005 12:00 Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 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 Beaumont College DS0000010024.V250952.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 Adults 18-65. 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. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Beaumont College Address Slyne Road Lancaster Lancashire LA2 6AP 01524 541400 9999 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) SCOPE Mr Stephen William Briggs Care Home 77 Category(ies) of Physical disability (77) registration, with number of places Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 31st January 2005 Brief Description of the Service: Beaumont College is registered with the Commission for Social Care Inspection to provide care and accommodation for up to 77 students. The college offers students a wide range of pre-vocational courses and individually tailored learning programmes, based on their own strengths and needs. Whilst education is a primary function of the college, residential care services are also provided to the majority of students who study there. As the educational standards within the college are inspected by OFSTED, inspectors from the Commission for Social Care Inspection assess standards which are associated with the residential care service provided at the college. The college is conveniently located in a residential area of Lancaster, close to a variety of facilities and amenities. Accommodation is provided over three floors and there is a passenger lift available for the use of students. In addition to the main building, further accommodation is provided for eight students, in a separate and smaller building situated in the grounds of the college. Due to its size and layout, this building offers accommodation which is more domestic in character. Due to a reduction in the number of students living at the college, a higher proportion of accommodation is now offered on a single room basis. Plans are underway to further increase the amount of single room accommodation available. Support staff (some of whom are qualified to NVQ level 2 or above in care) are on duty at the college on a 24-hour basis. The registered provider of this service is SCOPE, a national, non profit making organisation whose headquarters are based in London. Due to the recent retirement of the principle, the college is currently without a registered manager. The Commission are waiting for SCOPE to propose a new registered manager. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced visit which meant that the students, staff and managers did not know it would be taking place until the inspector arrived. The main purpose of the inspection was to monitor progress achieved in addressing requirements made following the last inspection. The large majority of these requirements were in relation to the standard of accommodation offered to students. During the visit, a tour of the college was undertaken and a number of students were consulted. What the service does well:
The feedback received form students about daily life at Beaumont College has been, during this and previous inspections, very positive. Students spoke highly of staff and many commented on how much they enjoyed their time at the college. One student said ‘‘I really love it here, I didn’t think there was anything like this anywhere!’’ Another student spoke of how he had felt very homesick when he first came to the college but said that he had been given a lot of support and reassurance from staff and other students and now felt very settled. Beaumont College are able to demonstrate an extremely thorough approach to the planning of each individual student’s care. All prospective students benefit from a very comprehensive assessment before they are offered a place. This assessment involves many different professionals such as occupational therapists, dieticians and senior support staff. All these professionals are also involved in the planning of each student’s care when they arrive at the college. All students have a very in-depth plan of care which is written in a way that they can understand. The inspector was able to determine that all students and their families are involved in each step of this care planning process. Students at Beaumont are supported to participate in a wide variety of social activities. Within the college there are lots of social events regularly held for students including a weekly disco and a beat box night. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 6 In addition, all students have their own access plan. These plans state the support they require to participate in activities in their local community such as swimming, bowling or pub visits. There are a number of vehicles available for the use of students. The college perform particularly well in providing meals for students. Students are provided with a varied, nutritious and appealing diet and it is apparent that much thought has gone into ensuring students are able to make choices about what they eat. For instance, at each mealtime each available meal is placed on a table at the entrance of the dining area. This assists students to see what is available and is therefore very helpful to those who do not read. In addition, each meal is placed by a large coloured button and colour coded. On pressing this button the student hears a full description of the meal. Rather than have to ask for what they want they simply take a card which co-ordinates with the colour of the button and pass it to catering staff. The provision of meals for students with special dietary needs is very impressive. Students dietary needs are addressed very thoroughly in their care plans so that staff are aware of them. Those students who require a soft diet benefit from a process by which food is pureed and then reformed to look exactly like the original meal. There are a number of advantages to this process. The meal is made to look appealing and students do not feel singled out by having a meal that is different to other people. Students and their representatives are actively encouraged to make complaints and are assured that they will not experience any repercussions. There are good systems in place to ensure students are aware of how to make a complaint including a large speaking notice board which describes the various routes a student can take. The college have good quality policies and procedures in place that comply with current legislation and established good practice. In addition, the college have a number of links with local, national and even international organisations specialising in areas such as behaviour, epilepsy, equality and fairness and continence. Such links enable the college to constantly update on new developments and continually develop the service provided to students. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 7 What has improved since the last inspection?
The Commission for Social Care Inspection have for some time, raised concerns about a number of areas in which SCOPE have failed to meet National Minimum Standards in relation the environment. SCOPE have now submitted a long term action plan to address all the areas identified. As a result, a number of environmental improvements have been made since the last inspection and those that are still outstanding have been addressed as part of the action plan. A number of areas within the college have now been fitted with overhead tracking devices. This means that students who require assistance to transfer can be moved more safely and in a more dignified manner. Some doorways have been widened to provide better access for students who use wheelchairs. SCOPE are planning to widen the remaining doorways by March 2008. Although the college is registered to accommodate 77 students there were only 58 students living there at the time of the inspection. This reduction in numbers has resulted in an improvement in the number of single rooms available. There are now 26 single rooms and 32 shared places. It is however, recommended that all students who require a single room are provided with one. A rolling programme is in place to ensure students’ bedrooms are well decorated and maintained. Since the last inspection a number of bedrooms have been refurbished and new carpets fitted. Some of the students’ toilet and bathing facilities have been improved, providing a better standard and improved access. At the time of the visit, the inspector was advised that staffing levels within the college had recently been reviewed. As a result of the review the college had received authorisation from SCOPE to increase staffing levels on a permanent basis. A recommendation was made at the last inspection, that the college issue satisfaction questionnaires to visiting professionals as well as students and their families. During this visit the inspector was advised that this system had now been introduced as part of the college’s quality assurance processes. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 8 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. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 10 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed during this visit. EVIDENCE: Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 11 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 Students’ confidentiality cannot be assured until their written information is securely stored. EVIDENCE: Following the last inspection of the college a requirement was made that students’ personal information be stored in a locked room. When the inspector viewed the area where this information is stored, it was found to be manned. However, it was confirmed that the room was not generally manned throughout the evening and that there were no procedures in place to lock the room when it was empty. As such, students’ personal information is still not being stored securely. This matter needs to be addressed as a matter of urgency to safeguard students’ privacy. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 12 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed during this inspection. EVIDENCE: Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 There are good policies in place relating to the receipt, storage, administration and disposal of students’ medication. Generally, students’ medication is managed well but some further improvements should be made to further safeguard them. EVIDENCE: The home had a full pharmacy inspection earlier this year during which it was found that students’ medication was not adequately labelled. A requirement was made in respect of this but during this inspection it was found that this issue had not been addressed. The college are advised to liase with the community pharmacist to ensure that an up to date label providing adequate information is supplied with medication on every occasion. In discussion, the inspector was advised that the temperatures of the fridges used to store medication were being checked on a regular basis. However, the temperatures were at times measuring over the recommended maximum. This needs to be addressed as a matter of urgency to ensure that students’ medication is being safely stored. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed during this inspection. EVIDENCE: Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 15 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 29. Much of the accommodation at the college does not meet the required standard. However, SCOPE are now demonstrating a commitment to addressing the identified areas and are making improvements. EVIDENCE: As earlier stated, the Commission for Social Care Inspection have been raising concerns about the environmental standards at Beaumont College for some time. The Commission have now been provided with a long term action plan which addresses all the identified areas. The college is a very spacious building providing a number of areas for students to access throughout the day. Smaller communal areas have now been provided on each living area within the college, which means students have more choice about where to spend their free time. The provision of a second lift is required to ensure that all areas of the college are easily accessible to all students. Work to provide this lift is now underway and the college are hoping it will be completed by the end of November 2005.
Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 16 A number of areas within the college have now been fitted with overhead tracking devices. This means that students who require assistance to transfer can be moved more safely and in a more dignified manner. Some doorways have been widened to provide better access for students who use wheelchairs. SCOPE are planning to continue with this programme and it is planned that all doors will be widened by March 2008. Although the college is registered to accommodate 77 students, there were only 58 students living there at the time of the inspection. This reduction in numbers has resulted in an improvement in the number of single rooms available. There are now 26 single rooms and 32 shared places. It is however, recommended that all students who require a single room are provided with one. Some of the students’ toilet and bathing facilities have been improved, providing a better standard and improved access. Some rise and fall sinks have been installed but there are still a number of areas that do not have these. Rise and fall sinks are necessary to ensure that students using various types of wheelchairs are able to access them. There are some kitchenette facilities within students’ living areas which due to their layout and size are not accessible to students. However, the inspector does recognise that some of these facilities have been improved. A rolling programme is in place to ensure students’ bedrooms are well decorated and maintained. Since the last inspection, a number of bedrooms have been refurbished and new carpets fitted. In general, students’ bedrooms were found to be decorated to a good standard and all those viewed by the inspector were personalised with students’ own possessions. Some students had been able to choose the colours of their bedroom walls and carpets. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 17 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the above standards were assessed during this inspection. EVIDENCE: Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37. Students at Beaumont College benefit from a service which is run by a competent and committed management team. However, SCOPE need to ensure that a new manager is proposed for registration as soon as possible. EVIDENCE: The college has a very well structured management team in place, each manager having responsibility for a certain area. It was noted during this visit that a number of changes had been made to the management structure. These changes must be reflected in the Statement of Purpose and service User Guide as soon as possible. As earlier stated, the college is now without a registered manager since the retirement of the principle in August 2005. SCOPE must propose a new manager for registration with the Commission as soon as possible. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 2 Standard No 24 25 26 27 28 29 30
STAFFING Score 1 2 1 1 2 1 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Beaumont College Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 2 X X X X X x DS0000010024.V250952.R01.S.doc Version 5.0 Page 20 yes 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 YA1 Regulation 5 Requirement The registered person must ensure that the Service User Guide contains the college’s complaints procedure. Changes to the management structure of the college must be reflected in the Statement if Purpose and Service User Guide. The registered person must ensure that all students’ personal information is stored securely. The registered person must ensure that all medication stored within the college is labelled appropriately. The registered person must ensure that all medicines requiring refrigeration are stored at the appropriate temperature. Timescale for action 30/11/05 2. YA1 5 30/11/05 08/10/05 3. 4. YA10 YA20 10 13 31/10/05 4. YA20 13 01/10/05 5. 6. YA24 YA24 23 13 7. YA24 23 An additional passenger lift must 31/12/05 be installed. The registered person must ensure that rooms used by 31/03/08 students have wide enough doorways for students who use wheelchairs to access. The registered person must provide the appropriate specialist 30/06/06
DS0000010024.V250952.R01.S.doc Version 5.0 Page 21 Beaumont College 8. YA24 23 9. YA33 18 adaptations and facilities to meet the assessed needs of students, for example rise and fall wash hand basins. The registered person must ensure that students have access 30/09/06 to dining/kitchen facilities which can facilitate various types of wheelchairs. The registered person must ensure that staffing levels are 30/11/05 adequate to meet the needs of students. The registered person must propose a manager for registration with the Commission. 04/11/05 10. YA37 8 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. 2. 3. 4. 5. 6. 7. Refer to Standard YA1 YA19 YA21 YA25 YA25 YA32 YA36 Good Practice Recommendations The Service User Guide should be made available in alternative formats such as audio and video. Consultation should be sought with the local Primary Care Trust in relation to the provision of training for specific health care tasks. Death and dying procedures should contain information relating to culture and religion. All students who request should be provided with a single bedroom. The issue of key holding should be addressed in each student’s individual support plan. 80 of staff should hold NVQ qualifications in care at level 2 or above. First line managers providing supervision should be provided with suitable training. Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 22 Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 Beaumont College DS0000010024.V250952.R01.S.doc Version 5.0 Page 24 - 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!
