Inspection on 22/11/05 for Beckfield

This inspection was carried out on 22nd 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 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

Beckfield 15/01/08

Beckfield 08/01/07

Beckfield 25/01/06

Beckfield 30/03/05

Beckfield 19/10/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Beckfield 70 Bolton Lane Bradford BD2 4BN Lead Inspector Barbara Grell Unannounced Inspection 22nd November 2005 10:30 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 Beckfield DS0000033521.V270153.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. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beckfield Address 70 Bolton Lane Bradford BD2 4BN 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) 01274 203001 01274 203002 City of Bradford Metropolitan District Council Department of Social Services Ms Christine Gibson Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th March 2005 Brief Description of the Service: Beckfield is a residential and day care unit owned and run by the local authority social services department. The home was build for the purpose in the early 1980’s. Beckfield is situated 2 miles from Bradford city centre and there are bus routes nearby. Parking is provided for within the grounds. The home is organised into 5 units one being the day centre and this is not currently subject to inspection. The 4 residential units provide for group living and include bedrooms, lounge, dining room and domestic style kitchen. There are 35 single bedrooms available. Service users can make a positive choice to share and two single rooms are provided for in such a case. Beckfield is situated in it’s own grounds and there is a small garden/patio area, which is accessible by wheelchair. A shaft lift is fitted connecting all floors. There is level access into the building. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken unannounced by one inspector on 22 November 2005 commencing at 10:15. The deputy manager was on duty and able to assist during the inspection. A number of standards were inspected in line with CSCI policy. Reports and information on social care services is available on the Internet on www.csci.org.uk. The following methods were used during this inspection. 15 service users had discussions with the inspector and were able to comment on the standards of care and services at the home. The inspector had lunch with the service users on one unit. Three case studies were undertaken on three units. Medical administration records and practices were inspected. Eight members of staff were involved in the inspection and spoke about training, supervision and practices. Two personnel files were inspected. Service user and visitor survey questionnaires are available in the home and can be returned at any time to CSCI. What the service does well: What has improved since the last inspection? The service user plans and assessments have been improved and are dated and clear in each case. The personnel files include all information required and have been quality checked by the managers in the home in respect of content. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 6 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. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 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 Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The home provides for short stays with various aims but does not provide intermediate care. EVIDENCE: In respect of standard 1 a statement of purpose and service user guide were requested to be forwarded to CSCI as this has been recently reviewed and amended. The home provides for ‘Step down’, rotational, respite and short stays. The ‘step down’ beds are provided to individuals who need a period of recovery after illness or surgery. There are no additional therapies provided hence this service is not an intermediate care services. All but one of the short stay beds are situated on one unit at present. However, this is currently under review by management in the home. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 9 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, 8, 9 &10 Service users are consulted in all aspects of their care, and their rights and choices are respected. Medication practices follow correct procedures. EVIDENCE: The service user plans and case files at the home are held in secure cabinets on each wing. The three case records inspected showed good input from service users and when appropriate their family or other advocates. Each plan included a brief social, family and medical history. The service users wishes. Likes and dislikes are well recorded and service users choices in respect of routine and lifestyle noted. The plans showed clearly the actions to be taken by staff to meet the needs of the service users. This includes cultural and social and emotional needs as well as personal and medical needs. The service user plan is based on various assessments and risk assessments undertaken. This includes assessment with regards to falls, nutrition and diet, moving and handling, smoking and level of skill with regard to medical administration and key holding for example. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 10 The assessments and care plans included various comments made by service users detailing their personal wishes and expectations. Service users had signed the service user plan. The service user plans are reviewed on a monthly basis by staff giving good details of the individual’s well being during the past month. Service users are involved in a formal review at least twice each year. Review meeting minutes are recorded and service users given the opportunity again to make their views knows. Any amendments needed to the care plan are recorded promptly and actions undertaken as needed. Service users are able to administer all or part of their prescribed medication in line with a system of risk assessment and management. This is recorded in the care plan and medical administration records give full details in respect of each service users needs in this area. Lockable facilities are provided in each bedroom to store medication and valuables. Unit staff administer the medication on a wing basis. Appropriate storage is provided for. The medicine administration records are well completed and show when medicines have been administered. When a prescribed medicine is not administered the reason is recorded. Staff are trained to administer medicines. Service users said that they felt well supported by the staff team and confirmed that personal care is always given in private, as are any consultations with doctors, nurses and other professionals. The service users also confirmed that they could receive visitors in their own room or communal areas as preferred. The service users said that they are well consulted about the services and care provided both individually and during group meetings held on each wing periodically. The aim is to have monthly meetings. All said that staff are respectful and have a caring manner. Files have been reviewed since the previous inspections and several improvements made. A new care plan format has been introduced and this enables clear recording. A quality assessment tool has been developed for the purpose of evaluating the content and quality of case records. The records were signed and dated. Information recorded was clear. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 11 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 service users choose their own lifestyle and routine and felt that there are a good variety of outings, activities and conversation as well as being able to choose to spend time alone. The service users felt that the service exceeded their expectations. The meals are wholesome and prepared with fresh ingredients and enjoyed by service users who take a full part in the menu planning. EVIDENCE: During the inspection many of the service users took part in an outing to a restaurant and tea dance. Service users had requested shopping trips and meals out during recent wing meetings. Service users said that outings are arranged regularly using the homes owned mini bus and hiring extra transport if needed. Extra staffing is planned for on these occasions. Service users felt that they were consulted about decisions made and their opinion valued by staff. Service users said that they join in activities that are provided in the day centre. There are regular planned parties and special occasions are celebrated. The service users benefit from the facilities in the day centre that include a licensed bar and hair salon. The salon is open several days per week and a number of service users had appointments that day. Service users said that there was something to do on most days and there is a choice to join in or Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 12 not. Some service users preferred not to join activities and said that they could spend time by themselves or any communal area as they wished. Each wing has a kitchen that can be used by service users and their visitors to make a drink and snacks. The kitchens were stocked with fruit juices, biscuits and other snacks for service users to help themselves if they wish. The lunch was well prepared and presented. A main course and pudding were served and cold and hot drinks available. There was good conversation during the meal and individuals enjoyed each other’s company. Staff made sure that service users with specific dietary needs were served with appropriate choices. The service users said that meals are good and that they are asked about food choices and the quality and quantity of food and menu’s during wing meetings. The mid and eastern European service users said that the staff cook special meals for them at teatime on a regular basis. Several people said they were able to discuss their involvement in the care planning and review process. Service users said that they choose their own routine and that they are actively encouraged to ‘speak my mind’. Most stated that the care and service at Beckfield exceeded their expectations of a care home. A number felt that their life had been enhanced and improved since admission. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 13 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 Any complaint is taken seriously, investigated and responded to in line with the complaint procedure. EVIDENCE: The home has a complaint procedure and service users spoken to said that they would talk to a staff member or manager about any concern they had. All said that they are sure that prompt action would be taken. One complaint has been received, investigated and responded to. was kept of the findings and action taken. A record Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 14 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): 19 The home is well maintained, bright and offers good and comfortable facilities to the service users. EVIDENCE: Service users occupy single bedrooms and some are large enough for people who rely on mobility aids and wheelchairs. The service users said that they could bring in items of furniture, ornaments and picture. Some said that they have keys to their room and can lock it if they want. They confirmed that there is regular maintenance ongoing. The home looked well maintained and provided a comfortable environment. Service users particularly appreciated the recent improvements of bathrooms, carpets and curtains. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 15 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): 29 There are robust recruitment policies that are followed in practice ensuring the protection of service users. EVIDENCE: Two recruitment files were inspected. These included the job application, two references and evidence of CRB and POVA clearance. Details are also recorded of the content of the job interview and this exceeds the current standard. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 16 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 & 36 There is an appropriate system of quality review that ensures that the opinion of service users is sought and acted upon. The financial administration of service users money is transparent and well recorded. However, service users must also be paid interest for amounts below £500.00 when held by the social services department. The supervision system ensures that there is good support to individual staff members and the team as a whole. Staff are properly supervised this leads to good retention and continuity of practice for service users. EVIDENCE: The quality of the service is reviewed and evaluated by the managers on an ongoing basis. Appropriate records are kept of the processes. The homes managers are supported and supervised during regular quality inspections by the line management. Service users are provided (see examples in previous sections) with opportunities to voice their opinions both as a group and one to Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 17 one situations. mattered. Service users felt well consulted and felt that their opinion Service users are able to deposit money with the authority and homes staff keep records of ongoing financial transactions undertaken on behalf of service users. The recording system allows for service users to be informed of their ongoing balance of money held on their behalf. Amounts above £500.00 are deposited into interest paying accounts. Service users receive monthly statements in respect of these savings. Interest should also be paid at a competitive rate in respect of amounts below £500.00. Bradford social services acts as appointee for the service users. The staff confirmed that they have monthly staff and wing meetings and regular supervision with their line manager. Training and development plans are based on this system of appraisal and supervision. The sessions are recorded both in respect of individual supervision and staff meetings. I was able to observe the handover when staff discussed the well being of each service user in order to ensure that the next shift’s team was fully up to date. Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 2 4 X X Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP35 Regulation 20 Requirement Money held on behalf of service users for safekeeping purposes must be subject to competitive interest payments unless it is a nominal amount. An action plan must be provided showing how and when this requirement will be met. Timescale for action 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Beckfield DS0000033521.V270153.R01.S.doc Version 5.0 Page 21 - 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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