Inspection on 29/08/07 for Beaumont Court

This inspection was carried out on 29th August 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

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

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

CARE HOMES FOR OLDER PEOPLE Beaumont Court Beaumont Court North Petherwin Launceston Cornwall PL15 8LR Lead Inspector Mike Dennis Unannounced Inspection 29th August 2007 09:00 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 Beaumont Court DS0000069565.V344077.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. Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beaumont Court Address Beaumont Court North Petherwin Launceston Cornwall PL15 8LR 01566 785350 01566 785558 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) Wentworth Healthcare Limited Sally Christina Julian Care Home 29 Category(ies) of Dementia (6), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (4), Old age, not falling within any other category (29), Physical disability over 65 years of age (6) Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) - Maximum of 29 places Dementia, excluding learning disabilities or mental disorder (Code DE) - maximum of 6 places Physical Disability - (Code PD) - maximum of 6 places Mental Disorder, excluding learning disability or dementia (Code MD) maximum of 4 places The maximum number of service users who can be accommodated is 29. New Service 2. Date of last inspection Brief Description of the Service: This home was acquired by Wentworth Healthcare Ltd., approximately six months ago Beaumont Court provides accommodation and personal care for elderly people in need of care by reason of old age. It offers accommodation on the ground and first floor, the latter being accessed by a stair lift. Rooms are all en suite and for single occupation unless two people elect to share. There is good communal space with a choice of sitting areas. The home has a garden with level walks and seating for people to enjoy. Day care and respite care are also offered, the home providing transport to collect and return people availing themselves of these services. Ample communal space is provided for both the resident population and day care service users. Journeys into the local town are arranged to enable residents to visit the shops, bank, hairdresser etc. Hairdressing and chiropody are arranged on a domiciliary basis. Medical cover and certain nursing treatments are available via the local Health Centre and the services of the Community Nurses. Residents are encouraged to take their main meal in the dining room where the table settings and meal presentation is of a good standard. A person’s wish to eat in his/her room is however respected. Regular contact with families and friends is encouraged, help is given to maintain hobbies and interests. The home has a programme of activity to which all are invited Beaumont Court DS0000069565.V344077.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 on the 29th. August 2007 over a 7 hour period. We met with the Registered Manager, the Deputy Manager, several of the staff on duty and with 8 residents, plus a group of day care attendees. During the course of the day we observed the residents being attended to by staff in a courteous and professional manner. Residents informed us that their expectations of being in a care home were being fully met. Various records, policies and procedures were inspected. We visited all parts of the building and noted a satisfactory standard of hygiene. Residents expressed satisfaction with all aspects of the home. The current management team have now been in control for 6 months. Residents report that the standards of care have been maintained and some said improved. Staff report that the change of ownership and management has proved successful. Policy and procedure documents have in the main been reviewed and changed where necessary. There are no statutory requirements resulting from this inspection. What the service does well: What has improved since the last inspection? Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 6 This is the first inspection under the ownership of Wentworth Healthcare Ltd. The manager and deputy have worked hard to ensure standards of care are maintained. Policies and procedures, recording practices and formats have been reviewed and those inspected conform to standards. Communication and involvement with relatives has been encouraged. Resident meetings have been conducted to ensure their views are heard and listened to. The first formal service user survey is planned for later this year. Staff training has occurred with various staff having attended a number of courses. Further training has been planned. The new owners have commenced a program of improvements to 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. The summary of this inspection report can be made available in other formats on request. Beaumont Court DS0000069565.V344077.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 Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 5. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive the information they require in order to make an informed choice about residing at Beaumont Court and their needs are assessed so that they can be assured that the home can provide the care required. EVIDENCE: Information is given to prospective residents by way of a Statement of Purpose, Service users Guide and brochure. Managers complete needs assessments for prospective residents and obtain assessments from the commissioning authority. A standard format for assessment and care planning is used which, when completed in sufficient detail, covers all the issues specified in the standard. The four residents’ Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 9 records case tracked in detail contained written needs assessments. Commissioning information from health and adult social care was also on file as were contracts and statements of terms and conditions. Assessments stated who was present, providing evidence that the prospective resident and their family were involved in the assessment. Residents and staff informed us that they were able to visit the home prior to admission. Several permanent residents told us that they knew the home from previous day care or respite visits. Policy and procedure documents detailed the admission procedures to be followed. Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents health, personal and social care needs are set out in individual plans of care which are regularly reviewed and amended. Medication procedures were appropriately followed Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 11 EVIDENCE: From discussion with service users, staff and inspection of documentation it was evident that individual care needs are identified appropriately. The care plan specifies what actions staff should take to ensure that the care need is approached in a consistent manner. The care plans also contain specific comments of action required and the goals set to achieve improvement within a risk management framework. It would be helpful if more information was recorded to indicate the results of such action in order to chart improvement and areas of success. There was evidence to indicate that the care plans are reviewed at monthly intervals. Health needs are accessed through the normal Community Services, G.P’s. Community Nurses etc. Residents commented that health needs are met by the staff at the home and by external professionals to a high standard. Records of all health professional visits are recorded. The administration, storage and disposal of medication processes were discussed and inspected. Controlled drugs were stored correctly as was other medication. Records required were filled out correctly. We conducted an audit trail on the controlled drugs and found all to be in order. Three staff have received the ‘accredited’ administration of medication training and more are booked on this course. The home benefits from regular training/advice sessions given by the local pharmacist. Staff were observed to treat service users with respect and it was noted that staff knocked at bathroom and bedroom doors before entering. General practitioners examine and treat all service users in the privacy of their own bedrooms. A dedicated room to store medication, dressings etc. is about to be commissioned. We inspected the new drug storage facilities and found that they fully comply to requirements. Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are supported to follow a lifestyle which accords as far as possible with their own choices and preferences. The diet provided is varied and nutritious with attention to individual preferences. EVIDENCE: The routines of daily living within the home appear to be flexible to suit individual preferences. The home offers various activities including trips in their mini bus. Outside entertainment is brought to the home. Residents confirmed the above. The visitors book indicated that a steady stream of visitors attend the home. Residents confirmed that they were free to receive visitors at any time. Residents reaffirmed that they are consulted with regard to choice and control over their lives Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 13 Residents appear to receive a varied, appealing and nutritious diet suited to individual needs, likes and requirements. Lunchtime appeared a sociable occasion with staff offering discreet help as and when required. Many of the people who use the service took lunch in the dining area; others preferred to remain either in the lounge or their bedrooms. Comments from the residents regarding meals were very favourable. Special diets are catered for and choices are available. Hot and cold drinks are offered and available throughout the day. The new management team are actively looking at expanding choice Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a satisfactory complaints procedure that would ensure that complaints are listened to and acted upon. There are arrangements to protect service users from abuse. EVIDENCE: Wentworth Healthcare Ltd. has a corporate complaints procedure which complies with the standard. Beaumont Court and the Commission have not received any complaints. Residents told us that they had not needed to complain, but they were confident that the managers and staff were approachable and would deal with any issues raised. There is a complaints and compliments record. There is an adult protection policy which includes how to comply with local multi-agency guidance. The manager has a copy of ‘No Secrets’, the Department of Health guidance, and a copy of the Cornwall multi-agency adult protection guidance. The manager should ensure that staff are aware of the multi-agency guidance. Training in adult protection is given at induction and during NVQ training. Those staff who have not attended the multi-agency ‘alerter’s’ training, should be considered for this course. Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 15 Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 26. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 17 EVIDENCE: There is level access to the home, with car parking next to the main entrance. Grounds are kept tidy and appeared well maintained. There is easy access to the main garden area through the patio doors of the conservatory, where there are tables and chairs arranged for the use of the residents. A two-staged stair lift is provided to gain access to the first floor for those with mobility problems. The home is homely and domestic in nature. The home was clean, hygienic and free from offensive odours. Residents reported their satisfaction regarding accommodation and facilities offered. Staff stated they had all the appropriate equipment to carry out their roles. The new owners have embarked on an improvement program. New laundry equipment has been installed and all linen is now contract cleaned. The boilers have been up rated and new pumps fitted. The conservatory has been refurbished and several bedrooms redecorated. A re-carpeting program is underway. A water cooler has also been installed. A full time maintenance person is now employed and all vital services are now on fixed maintenance contracts. Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures support and protect the service users. Staff are trained and competent to meet the needs of residents. The staffing levels are generally satisfactory. EVIDENCE: The home has a duty rota that accurately reflected the number and skill mix of staff on duty during the inspection. Additional staff are on duty at busier times of the day. There are normally 6 care staff on in the mornings and 4 on afternoon and evening. Currently at night there are two staff on duty. Senior staff may be contacted if needed. The home’s employment policies and procedures are implemented. 2 written references were evidenced within a random selection of staff files. CRB checks and POVA checks have been completed. Set interview formats have been introduced which compliment the job descriptions and person specifications. Application forms include the Rehabilitation of Offenders Act (Exemptions Order 1975). All staff are offered Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 19 contracts of employment. A new format for induction training has been introduced and a staff handbook has been compiled. Staffing records were inspected and found to contain all the relevant required information. The majority of staff have been employed at this home for some considerable time and therefore induction training records are somewhat patchy. It is recommended that full induction training records are kept for all new staff in line with the ‘Skills for Care’ publications. Refresher training for existing staff can be included. It may be wise to develop training profiles for all staff in order to provide clear and chronological records of training received. Beaumont Court DS0000069565.V344077.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The provider has appointed an experienced and qualified manager who has improved the care delivery to meet the homes stated purpose and objectives. The health and safety of residents and staff is promoted. EVIDENCE: The registered manager has been in post for six months. She has 8 years experience of working in care homes at a senior level. She holds the Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 21 Registered Managers Award and is qualified to NVQ level 3. She is now working towards NVQ level 4. A deputy manager has been employed to help manage the staff team. Supervision of staff is beginning to fall into a regular pattern as evidenced from written records and in discussion with staff. Service user financial transaction were seen to be appropriately recorded. The home ensures that the health, safety and welfare of service users and staff are promoted and protected as far as is practicable. Training and maintenance records were available for inspection. Beaumont Court benefits from regular support and input from the parent company, Wentworth Healthcare Ltd. Beaumont Court DS0000069565.V344077.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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 X 18 3 3 X X X X X X 3 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 3 3 3 Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A 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 2 Refer to Standard OP7 OP18 Good Practice Recommendations It is recommended that more information be included in the care plans to illustrate progress made against the set goals and action plans listed. It is recommended that those staff who have not attended the Abuse Alerters course should do so. Beaumont Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Court DS0000069565.V344077.R01.S.doc Version 5.2 Page 25 - 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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