Inspection on 02/11/05 for Beauvale Court Care Home

This inspection was carried out on 2nd November 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beauvale Court Care Home 06/12/07

Beauvale Court Care Home 28/06/06

Beauvale Court Care Home 13/07/05

Beauvale Court Care Home 07/03/05

Beauvale Court Care Home 04/05/04

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beauvale Court Care Home Wellington Place Eastwood Nottingham NG16 3GD Lead Inspector Richard Ramsden Unannounced Inspection 2nd November 2005 10:00 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 Beauvale Court Care Home DS0000058980.V261896.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. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beauvale Court Care Home Address Wellington Place Eastwood Nottingham NG16 3GD 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) 01773 768183 01773 913143 Nottinghamshire County Council Mrs Angela Christine McNally Care Home 44 Category(ies) of Dementia (28), Dementia - over 65 years of age registration, with number (28), Old age, not falling within any other of places category (44), Physical disability (5) Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Out of the total number of beds (44), there will be 28 beds for DE 55 and over and/or DE(E) Out of the total number of beds (44), 5 may be used for PD 55 and over Service users shall be within category OP Date of last inspection 13/07/05 Brief Description of the Service: Beauvale Court is owned and run by Nottinghamshire County Council Social Services and is a purpose-built care home for up to 44 for older people. The home was built in the 1980s and is situated within 150 yards of the town centre of Eastwood, which has a good range of services and facilities. The accommodation is cited on two floors with a shaft lift assisting independent access. All of the bedrooms are for single occupancy and are fitted with wash hand basins; there are no ensuite facilities. The communal space at Beauvale Court compensates for the fact that some of the bedrooms are small. There is a well-maintained enclosed rear garden that is accessible to all residents. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over one day and lasted for approximately 5 1/2 hours. It included the inspection of care and other records, a discussion with the registered manager and two team leaders. The inspector also spoke with four residents and one visitor to the home. A partial tour of the building was also completed. What the service does well: The residents spoken with during this inspection said that the best thing about the home is the staff. They stated that the staff work hard but always have time for a “chat and a laugh”. They describe the staff as friendly and respectful and said that they ensure that residents privacy and dignity is maintained at all times. People said that they liked their bedrooms and that they find the home to be clean and tidy. Three people said that they had been encouraged to bring personal items into their bedrooms to create a homely relaxed environment. One person said that their family had completely redecorated and re furnished the room to meet their individual tastes and needs. The décor and furnishings have been maintained to a good standard throughout the home. The home provides a good range of activities and entertainments, which is enjoyed by all the residents spoken with during the inspection. There is a rotating menu, which provides a good variety of food, and people confirmed that they are asked on a regular basis if there are any specific foods that they would like to have included on the menu. Residents said that there is always a choice of food each mealtime and that an alternative will be provided if they do not want the food suggested on the menu. The majority of staff have worked at the home for a considerable length of time helping to provide consistency and experience. Staff members have shown a commitment to improving services and a considerable amount of staff training has been provided. There were several aspects of good practice highlighted in the main body of this report. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: The literature supplied prospective residents needs to contain more detailed information to ensure that people can make an informed choice as to whether the home will meet their individual needs. Individual residents care plans must contain more detailed information so that staff are always aware of what support and assistance each resident requires. The care plans must be reviewed at least once a month in consultation with the residents and where appropriate their representatives. The homes complaint records need to show what investigations have been completed and any remedial action that might have been taken. The registered person must ensure that all residents can reach their call bell while lying in bed, so that they can if necessary summon assistance from staff. The records of items handed in for safekeeping must be more accurately maintained. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 7 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. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 8 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 Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 9 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): 1. The literature supplied to prospective residents does not contain sufficient information to enable them to make an informed choice as to whether the home will meet their individual needs. EVIDENCE: The literature supplied to prospective residents/their representatives has been produced in a user-friendly format. (This is good practice). However the literature must be revised to include, more detailed information about the accommodation provided and the qualifications and experience of the staff. People must be informed that the Commission for Social Care Inspection now has the responsibility for registering and monitoring standards in the home. The complaints records also need to state that people can contact NCSC if they have any complaints that they do not believe the homes management have appropriately resolved/investigated. The literature must also include the resident’s views of the home and a copy of the most recent inspection report summary. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 10 Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 11 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): 7.9. Care plans still do not contain sufficient information and are not reviewed frequently enough to ensure that staff are always aware of what assistance and support each resident requires. The system for the administration of medication is well managed and helps to ensure that resident’s health and safety is protected. EVIDENCE: The information contained in individual residents care plans has improved since the last inspection. However they still do not contain sufficient information to ensure that staff are always aware of what assistance and support each resident requires. It was noted that none of the care plans view during the inspection were being reviewed on a monthly basis and where care plans had been reviewed there was no evidence that residents or their representatives had been involved in the review process. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 12 One of the residents bathing records had not been completed for over one month. The manager stated that this resident does not like to have a bath and frequently refuses to bath. The inspector stated that every resident must be offered a bath at least once each week if people refuse a bath their decision must be recorded in their care plan. Staff have started to complete Tissue Viability Risk Assessments with each resident to ensure that people who are at risk of developing pressure sores can be referred for preventative treatment. (This is good practice). At the last inspection the homes medication systems were checked in detail and were well maintained. However all of the medication was stored in the office and staff needed to ensure that the temperature in this room did not exceed 25°C as higher temperatures can cause deterioration and reduce the effectiveness of the medication. Since the last inspection the temperature in the office has been recorded on a daily basis. As the temperature has on occasions exceeded 25°C an airconditioning unit has been ordered and will be fitted in the near future. (This is good practice). The inspector was advised that none of the current residents are administering their own medication. Staff are aware that individual risk assessments will need to be completed with every resident who wishes to administer their own medication. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 13 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): 12,14,15. The home provides an impressive range off activities and entertainment, which matches resident’s expectations and preferences. The procedures implemented within the home help to ensure that residents can exercise choice and control over their lives. Residents are provided with a wholesome well-balanced diet. EVIDENCE: The resident’s records viewed during this inspection contained details of their previous interests/hobbies. (This is good practice). A plan of the activities to be provided in the home is displayed in the main reception area. There is a comprehensive and varied programme of activities. On the day of inspection residents were participating in a music and mobility class. Two residents said that they had thoroughly enjoyed this activity. All of the residents spoken with during the inspection said that they are very satisfied with the level of activities and outings provided. The manager stated that people are asked at the time of their admission if they wish to administer their own finances; this is also discussed as part of the formal review process. Two residents confirmed that they had been offered the opportunity to manage their own finances. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 14 Details on how to contact local advocacy services are available in the main reception. The manager stated that a leaflet detailing Advocacy services and a copy of the County Councils Access to Records Policy are usually provided in the literature supplied to all prospective residents. The meal provided on the day this inspection appeared wholesome and nutritious. The five weekly rotating menus showed a choice of food at each meal. The residents spoken with confirmed that they are regularly consulted about the menu and that alternative meals will always be provided if they do not want the food suggested on the menu. One resident said that she has her meals liquefied and that each element of the food is liquidised individually to preserve flavour and appearance. (This is good practice). All of the residents spoken with during this inspection said that they are very satisfied with the food provided by the home. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 15 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): 16,18. The records of complaints did not contain sufficient information to ensure that they had been investigated and resolved appropriately. Residents are protected from abuse. EVIDENCE: At the last inspection a requirement was made that the record of complaints must be dated and contain details of the investigation and any remedial action, if any taken. Since last inspection the manager has redesigned the complaints report format so that all the required information can be recorded. However since the new format was introduced the home had only received one complaint and the action taken to investigate and resolve the complaint had not been recorded. The manager was advised that staff must complete all of the sections of the complaints records. The home has an appropriate Whistle Blowing Procedure and a copy of the Local Vulnerable Adults Procedure. The inspector was informed that there have been no allegations of abuse in the last 12 months and that no members of staff have been referred for inclusion on the P.O.V.A. lists. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23,25. The residents spoken with are very satisfied with their bedrooms, they do appear to meet their individual needs. Radiator covers and window restrictors have now been fitted to help protect vulnerable residents. Not all residents are able to reach their call bells while theyre lying in their beds. EVIDENCE: All of the residents rooms viewed during the inspection were comfortably furnished and pleasantly decorated. People had brought personal possessions into the home to help create a pleasant homely environment. One person said that her family had decorated and furnished her bedroom to meet her individual needs. All of the people spoken with said that they are very happy with their bedrooms. It was noted that one person, who was in bed at the time of inspection, would have had considerable difficulty reaching her call bell if she needed to summon Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 17 assistance from staff. The residents confirmed that she finds it very difficult to reach her call bell. Since the last inspection radiator covers have been provided for the unguarded radiators and window restrictors have been fitted to ensure the safety of the more vulnerable residents. (This is good practice). Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27. Staffing levels are appropriate to meet the assessed needs of the current residents. EVIDENCE: The rota provided for the week of this inspection showed that the home is meeting previously agreed staffing levels. The manager stated that the staffing levels meet the needs of the current service users. The residents spoken with said that although staff are very busy on occasions, they do always provide an appropriate service. The residents described the staff as helpful, considerate and stated that they are always “fun to be around”. They said that the attitude and approach of the staff could not be faulted. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 19 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): 33,35,38. The home is financed through Nottinghamshire County Councils Social Services Budget. Resident’s financial interests are safeguarded but the registered person must ensure that accurate records are kept of all items handed over for safekeeping. The health and safety of the residents and staff are promoted and protected. EVIDENCE: The records of residence finances were checked at random and they had been well maintained. When the records of items handed in for safekeeping were checked there were some irregularities. These must be investigated and resolved and the registered person must ensure that the records are accurately maintained in the future. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 20 The manager stated that there is no work outstanding from the Fire Officers last visit. The homes Fire records were checked and were well maintained. The inspector was informed that staff are receiving appropriate fire training. The environmental health officers last visit was in August 2005 the home had received a very positive report following this visit. The homes Legionella risk assessments were checked and appeared satisfactory. Water temperatures are being checked and recorded on a regular basis. Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 21 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 2 X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 X X X X 2 X 3 X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X N/A X 2 X X 3 Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 5 Requirement It is required that the literature supplied to prospective residents/their representatives includes: 1.More detailed information about the accommodation provided. 2.The qualifications and experience of the staff. 3.Details about CSCI and their role in the investigation of complaints. 4.The residents of views of the home. 5.A copy of the most recent inspection report summary. it is required that the service user plans give detailed information on how individual residents health and welfare of to be met. The plans must be reviewed on a monthly basis in consultation with the residents and where appropriate their representatives. (Previous timescale of 01/08/05 not met) it is required that the records of complaints contain details of the investigation and any remedial DS0000058980.V261896.R01.S.doc Timescale for action 02/01/06 2. OP7 15 02/01/06 3. OP16 17 (2) 02/11/05 Beauvale Court Care Home Version 5.0 Page 23 4. 5. OP23 OP35 16 (1) 17 (2) action, if any taken. (Previous timescale of 01/08/05 not met although some work has been completed.) It is required that all residents can access their call bell while they are lying in bed. It is required that the irregularities in the recording of items handed in for safekeeping are investigated and resolved. The records must be accurately maintained in the future. 02/11/05 02/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. X Refer to Standard X Good Practice Recommendations None Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 Page 24 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 Beauvale Court Care Home DS0000058980.V261896.R01.S.doc Version 5.0 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. 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!