Inspection on 14/04/10 for Beaumont House

This inspection was carried out on 14th April 2010.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Beaumont House 01/12/09

Beaumont House 17/12/08

Beaumont House 16/09/08

Beaumont House 23/07/08

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2010.

Key inspection report Care homes for older people Name: Address: Beaumont House 47 Priest Hills Road Hinckley Leicestershire LE10 1AQ     The quality rating for this care home is:   zero star poor service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Keith Williamson     Date: 1 4 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 26 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Beaumont House 47 Priest Hills Road Hinckley Leicestershire LE10 1AQ 02089334331 01455632011 beaumont_house@talktalk.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Violet Cadogan Name of registered manager (if applicable) Type of registration: Number of places registered: care home 10 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Beaumont House is a care home for older persons, providing accommodation and personal care for up to ten older people, some of who have a dementia type illness. The home is situated in a popular residential area just off the town centre of Hinckley. It is situated close to local amenities and shops and both the train station and bus Care Homes for Older People Page 4 of 26 Over 65 0 10 10 0 0 1 1 2 2 0 0 9 Brief description of the care home routes are within easy reach. The home offers 10 single bedrooms, two of which have en-suite facilities. Bedrooms are situated on both the ground floor and first floor of the property and a main lounge and dining room can be found on the ground floor. Rooms on the first floor can be accessed by lift or stairs. Current private charges are £480.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. A copy of the latest Inspection report is available at the home, or it can be accessed via the CQC website: www.csci.org.uk. Further information about the home is available from either the owner or the senior care workers. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: zero star poor service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We as it appears throughout this Inspection Report refers to the Care Quality Commission (CQC). The focus of inspections is on outcomes for people who use the service and their views of the services provided. The main method of inspection used was case tracking which involves selecting a sample number of people and tracking the care they received through talking with them where possible, looking at their records and accommodation, in this case one person was chosen. This visit took place over one day, commencing at 12.00pm and took five hours to complete. An opportunity was taken to observe the people, talk with the Manager and staff, look around the home, and view records, policies and care plans. Information was also Care Homes for Older People Page 6 of 26 obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the people, home and the staff group. The Service User was spoken with as was a close relative, they both declined to comment on the home so no comments appear in this inspection report. The quality rating for this service is 0 star. This means the people who use this service experience Poor quality outcomes. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The information people are given before deciding to move into the home could be more detailed, and updated to ensure this is accurate and available to base decisions on. Complaints information and contact details also needs to be updated to ensure people have the appropriate information. Staff must be given the appropriate safeguarding information to enable them to protect people. Criminal Record Bureau (CRB) checks for staff must be applied for prior to staff commencing work with vulnerable people. The environment must be made safe and steps taken to ensure safety for all in the home. Risk assessments must be updated and staff must ensure peoples safety by undertaking and recording the outcomes of the full range of tests to ensure people are safe. Policies and procedures must be updated, and periodically reviewed to ensure staff have the appropriate instruction on how to work safely. The registered person must ensure the CQC are informed of any deaths, serious illnesses or other events affecting people. This is a requirement that is still outstanding from the last visit. The registered person must oversee the staff to ensure they are working safely and adhere to the policies and procedures in the home. Areas of risk must be appropriately assessed and those risks reduced by the appropriate risk assessments being put in place and reviewed periodically. The reports of the Environmental Health Officer and Fire Officer must be fully implemented to ensure peoples safety. Care Homes for Older People Page 8 of 26 The registered person must ensure training of a suitable level and quality is offered to staff. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this 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 service users, and their representatives, would have adequate information to make a decision as to whether the home could meet their needs and aspirations. Evidence: The staff have developed a statement of purpose and service users guide, which would meets the needs of people in the home. The information requires to be brought up to date, with information which would allow people the appropriate contact information. The complaints procedure is also included in the guide, however this also needs to be updated with the latest information to again allow people access to the correct contact information. People have their needs assessed prior to moving into the home, though there has been no one admitted since the last key visit. The assessments seen on one persons Care Homes for Older People Page 11 of 26 Evidence: file, allowed a plan of care to be put in place. We looked for a contract or terms and conditions, which had been issued but not returned by the Service Users relative. The home doe not offer intermediate care. This is a special type of care offered to people usually on discharge from hospital. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their health and medication needs met appropriately. Evidence: We looked at the the care plan which was written using a new format. The plan was well detailed and had sufficient information for staff to provide care to the Service User. Heath care was recognised in the plan with the contact details of the doctor. The Service User had been admitted to the home three days previous to our visit, and not required any further medical assistance. We looked at the persons medication this was in bulk form and was well ordered. All the medication was receipted and administered appropriately. The medication administration records (also known as MAR charts) were signed by staff, this is important as it indicates the Service User had medication at the correct time. Staff had the use of a reference book which gives information on the effects of medicines and what they need to look for, when observing for any side effects. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social care needs are recorded and met by staff. Evidence: We looked at the assessment and care plan for the Service User. This was detailed enough to indicate to staff the social care preferences of the person. The staff told us they had plenty of time to chat, and the Service User appeared content in the new environment. The Service User had their food preferences and dislikes recorded. Staff were aware how the Service User required to have their food presented. Care Homes for Older People Page 14 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff lack of knowledge on safeguarding and protection places people at risk. Evidence: We looked at the complaint records in the home. There has been one complaint recorded since our last visit, and this was responded to promptly. The information provided to people to enable them to make a complaint, is not fully up to date, and does not cover all eventualities. The manager stated this would be updated and the appropriate information displayed. There have been a number of instances where people have been placed at risk. The manager has reacted to the safeguarding issues promptly, however does not have the foresight to make appropriate decisions on peoples behalf and guide staff in an appropriate course of action. For example, we have been made aware that there were a number of Service User falls recently. Staff were asked to lift people from the floor using inappropriate methods placing the Service Users and themselves in danger. Training for staff following these issues may have been undertaken, however staffs knowledge of how to protect people is not adequate to safeguard them. Care Homes for Older People Page 15 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this 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 provides an environment that is appropriate to the needs of the person living there. Evidence: There have been a number of improvements to the decor, fixtures and fittings of the home since our last visit. Many of the improvements have resulted from the recent Fire Officer and Environmental Health Officer visits. The safety of these updates has been dealt with in the Management and Administration section of this report. The window in a ground floor bedroom is cracked, and requires replacing prior to any Service User being allowed in in the future. The redecoration programme is ongoing, and the main lounge carpet has also been replaced. There was an issue of safety around the quality of work around the fitting, though this has been dealt with, and the area made safe. Work has continued on toilet flooring, some of which has also been replaced. Toilet, and bathroom doors were seen to lock appropriately allowing people their privacy and dignity to be assured. Equipment has been purchased recently which allows the safe moving and handling of people. This was brought into service with no service history to ensure it had been appropriately serviced. This now has an appropriate certificate of safety enabling staff to move people safely. The laundry is adequate for keeping the transfer of infection to a minimum, with easily cleaned walls and surfaces. There was an issue with the provision of personal safety Care Homes for Older People Page 16 of 26 Evidence: equipment, such as disposable gloves and aprons. This does not appear to be an issue with the current service user. Care Homes for Older People Page 17 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Shortfalls in the recruitment process and training do not adequately protect people. Evidence: The staff rota was viewed and confirmed the current staffing is more than adequate for the person living there. Staff training is continuing with the staff completing a number of the mandatory courses required by law. There is however some issue with the quality of the training and depth of knowledge staff have gained regarding these issues. New staff have an induction, but there is no confirmatory evidence of the content of information, the period over which the information is given or the staff confirmation they have undertaken the training. Staff files had the appropriate recruitment information in place. This was backed up by proof of peoples identity, pova first checks and Criminal Record Bureau (CRB) checks. These are checks required by law to ensure staff are safe to work with vulnerable people. One of the CRB checks was not applied for six months after the member of staff commenced working with people in the home. This does not afford the appropriate levels of safety to those in the home. Care Homes for Older People Page 18 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience poor quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The lack of knowledge about overall safety, and regular testing to provide a safe environment puts those in the home in danger. Evidence: The home is managed by the owner, who has been employed in the caring industry for an extended period of time. We looked at the policies and procedures, these have not been updated recently and do not reflect the up to date information required by staff to enable them to work effectively and safely. For example the medication procedures inform staff of how to administer blister packed medication. The resident had bulk medication as they had just come in from home, and neither the policy or procedure mentioned to the staff how to give these out safely, and what checks are necessary. We looked at the recent reports by the Environmental Health Officer and Fire Officer. There were requirements from these reports which had to be completed to ensure a Care Homes for Older People Page 19 of 26 Evidence: safe environment for people. The majority of work from the fire report had been undertaken, but not to a satisfactory level to satisfy the the fire officer or provide a safe outcome. For example the fire doors had been fitted with new smoke seals, however they did not close appropriately, and so provided a greater danger. Testing of the fire alarm system and emergency lighting is not being done regularly and there was no evidence of any tests to reduce the likelihood of Legionella. Other work from the Environmental Health Officer such as hot water temperature recording had been undertaken, and window restrictors had been put in place to the first floor windows. Some evidence of Quality Assurance had been undertaken, with questionnaires to the Service Users and staff. The outcomes from those had still to be made public. The current certificate of insurance is displayed in the home. Due to recent contractual with the home and local authority we could not ascertain if the home is financially viable. We have undertaken discussions that will look at this in more detail, and report on this in the future. The staff do not currently hold monies for Service Users, so we did not view any records. Care Homes for Older People Page 20 of 26 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 13 The provider must ensure that all necessary assessments are carried out related to the health of people in the home, such as nutritional assessments and skin pressure assessments. This is to ensure that any necessary steps are taken to maintain peoples health and wellbeing. 31/01/2010 Care Homes for Older People Page 21 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 23 The registered person shall have regard to the number and needs of the service users ensure that the premises to be used as the care home are of a sound construction and kept in a good state of repair externally and internally. This to ensure people move into a safe environment. 21/05/2010 2 18 37 The registered person shall 21/05/2010 give notice to the Commission without delay of the occurrence of, the death, outbreak of any infectious disease, any serious injury, serious illness or any event in the care home which adversely affects the wellbeing or safety of any service user. This is to ensure that people are protected in the home. Care Homes for Older People Page 22 of 26 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 3 29 19 The registered person shall 14/05/2010 not employ a person to work at the care home unless subject to paragraphs (6), (8) and (9), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2; This is to ensure people are protected in the home. 4 30 18 The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users, ensure that the persons employed by the registered person to work at the care home receive, training appropriate to the work they are to perform (including structured induction training). This is to ensure people are protected in the home. 14/05/2010 5 33 24 The registered person shall establish and maintain a system for evaluating the quality of the services provided at the care home. 21/05/2010 Care Homes for Older People Page 23 of 26 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action The home must make prospective service users and those people resident the outcome of any Quality Assurance findings. 6 34 25 The registered person shall, 21/05/2010 if the Commission so requests, provide the Commission with such information and documents as it may require for the purpose of considering the financial viability of the care home, including, the annual accounts of the care home certified by an accountant. This is to ensure the capability of the home to continue trading and ensure the safety and security of those people resident. 7 38 13 The registered person shall ensure that, unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. This is to ensure staff take steps to keep people safe in the home. 21/05/2010 Care Homes for Older People Page 24 of 26 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The contact details in the Statement of Purpose and Service User Guide, could be updated to allow people the accurate information and enable them to complain to the appropriate authorities. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!