Inspection on 25/01/06 for Beckfield

This inspection was carried out on 25th January 2006.

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 22/11/05

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 25th January 2006 9:00 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 Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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.V279992.R01.S.doc Version 5.1 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.V279992.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 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.V279992.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken unannounced by one inspector on 25 January 2006 commencing at 9:00 over a period of six hours. 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 this and other social care services are available on the Internet on www.csci.org.uk. The following methods were used during this inspection. 17 service users and 8 staff were able to make comments about their experiences of living and working at Beckfield. Three service user’s records and two staff files were inspected. The processes of ensuring the good health and safety were assessed. Training and supervision provided to the staff team were assessed by discussion and looking at training plans and records kept in the home. Service users were able to comment on their experience of the services and care provided and the practices followed by staff. What the service does well: The service users are happy with their environment. There are ongoing improvements and upgrade and they now feel that the house is wellmaintained, comfortable and offering good facilities in bathrooms and toilets. Individuals are able to use the day centre and join in activities and facilities provided there including hairdresser, licensed bar and shop. Individuals enjoy their own rooms and are able to bring in items to personalise this space. Service users said that they can follow their preferred routine and are able to choose when to rise, retire to bed and use their own room as and when they wish. Visitors can be received in lounges or the individuals’ own room as preferred and visiting is flexible to allow visiting at any time. The service users felt that competent staff cares them for. provided promptly when needed. Assistance is Individual care needs are well recorded and staff record monthly reviews of the care plan. What has improved since the last inspection? New financial terms and conditions are available that give full details of the policies. This enabled service users to make an informed choice about the way their finances are administered. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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.V279992.R01.S.doc Version 5.1 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.V279992.R01.S.doc Version 5.1 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): 1, 3 & 5 The amended service user guide/statement of purpose must be forwarded to CSCI. Individuals benefit from being able to ‘test’ the home by having introductory visits or because they have received day or respite services prior to a long-term admission. The care management and social work assessments ensure that the needs of a newly admitted individual can be met. EVIDENCE: The revised statement of purpose/service user guide has not yet been received by CSCI. A requirement will be made as part of this report. Service users can access this information in the entrance where there is much appropriate information available. This includes the complaint procedure, inspection reports and information leaflets. All service users at the home are subject to care management arrangements. Care manager/social work assessments (Easy Care) are completed prior to admission and a copy made available. This assessment forms the basis to the admission. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 9 Prospective service users and their family or representative are invited to visit the home to ‘check’ for themselves the facilities and services. Individual arrangements are made. Many of the residents have had experiences of attending the day or respite services provided. This results in service users being familiar with some of the staff and routines at the home. Service users felt that this had reduced their ‘worry about moving into a home’. Individuals felt that they had made a positive choice to move into a residential home and that this had good outcomes. This included improved health, nice meals and good company. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 & 9 The care plans and documentation such as risk assessment and reviews are well recorded and there is a high level of service user involvement in the processes. Individuals benefit form person centred practices that take account of each persons wishes and feeling leading to individualised care and high levels of satisfaction. EVIDENCE: Individual care plans and the homes own assessment are recorded and complied within the case file/record. In line with current policy changes the personal care and health care (NHS nursing record) are being put together into one case record. Service users were able to confirm that they are able, if they wish, to be involved in reviews and care planning meetings with their key workers. Individuals felt that they were enabled to ‘speak my mind’ and ‘ask for change’. This reflects the person centred style the staff support. The records showed that the health and personal care needs of each individual are well assessed and needs met. Any concerns are promptly investigated. Medical professionals and NHS nurses provide any medical and nursing care Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 11 and treatments. Many individuals spoken to had been able to keep their previous GP. In all cases there was a choice of local GP’s. Risk assessments in respect to nutrition, skin viability and falls are recorded using recognised assessment tools. Service users confirmed that their dietary preferences and needs are discussed with staff regularly. Wing meetings and informal discussions take place the residents said. Individuals felt well consulted. Individuals are able to continue to look after part or all of their own medication when able and the individual wants to. Risk assessments are recorded and the administration records show when a service user is responsible. Staff receive training and regular update to ensure that they have a good skill level. Appropriate storage cupboards are provided for. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Visiting arrangements are flexible and result in ongoing contact between individuals and their family and friends. EVIDENCE: Service users said that they could receive visitors at any time. There is no need to make prior arrangements. Refreshments are offered by staff and visitors are welcome to make a drink and refreshments in the wing kitchens. Communal rooms or individual’s bedrooms can be used and this is the choice of the service user. Individuals said that they can go out and visit family and friends and when able many individuals continue contacts this way. There are telephones for service users to use in their own room. There are no charges made for this. A cordless telephone is available. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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): 18 Adult protection policies and training to staff equips them to appropriately report allegations or known cases of abuse. Staff are aware of practices that protect vulnerable individuals from abuse. EVIDENCE: There have been no adult protections concerns resulting form the services or care provided at the home. There are adult protection policies in place and these are available at all times to staff. The local adult protection policy is available giving full details about issues of reporting at a local level including contact addresses and telephone numbers. Staff receive training during their induction and are able to access courses provided by the Social Services Department. Staff were clear what action they would need to take. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 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 & 26 The home provides a safe, well-furnished and maintained environment. EVIDENCE: The home was warm, well lit, pleasantly furnished and well maintained. A small number of service users were seen in their own room. Individuals had personalised their room and some hobby materials, TV’s, ornaments and treasured family photos made each bedroom pleasant and personal. There are three toilets and one bathroom on each wing and they are well located to ensure good access. Individuals felt that recent improvements are being maintained in good condition. All felt that the home is comfortable and safe. The staff confirmed that there is suitable equipment to maintain good hygiene and safety. There is a well-equipped laundry that is staffed on a part time basis. Bathrooms and toilets have anti bacterial soap and paper towels to enable good hygiene and hand washing. Areas are regularly sanitised and appropriately cleaned. All areas were clean, tidy and well ventilated. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 15 Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 16 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, 28 & 30 The service users are well cared for by a competent, stable and well-trained staff team. EVIDENCE: This numbers of staff on duty are in line with the current requirements for this home. There is an ongoing management review taking place in respect of staffing level within the care homes owned by Bradford Social Services. There is a good skill mix and many of the staff team are well experienced. Residents know individual team members by ‘name and nature’ and some knew the staff rota well enough to know who should be on duty during the next shift. Individuals said that they are not made to wait and staff are usually prompt to answer a call bell and provide assistance. More than 50 of staff have competed the NVQ level 2 or above and others are undertaking this training. Team members spoken to felt that they were well supported including time off. All newly appointed staff undertake appropriate induction training and have to complete ‘Best Practice’ training within set timescales. Individuals are also able to access other training and regular updates. This includes dementia awareness, manual handling, first aid and adult protection training for example. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 17 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): 31, 35 & 38 The home is competently managed. The individuals financial are administered in a transparent way allowing for safety and flexibility. The risk management system ensures that the practices and premises are safe and well maintained. EVIDENCE: The registered manager has been absent for a period of time. The deputy and senior staff in the home have been deputising during this period. Management duties and routines have continued to ensure that all aspects are well managed, organised and quality management systems continue. New terms and conditions are in place to inform individuals wishing to deposit money in the home/with the local authority. This gives good details of the way any balances will be handled and this system ensures that money is safe and can be accessed at any time. There are no charges or interest payments made in respect of money deposited. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 18 There is a good risk assessment and management system recorded. Assessments considered all types of risk and were thorough in taking account of any risk to individuals. Contracts are in place to ensure that equipment is regularly serviced and checked to comply with current health and safety legislation. Small electrical appliances belonging to individual service users are also subject to testing. No response has been received by CSCI in respect of the fire report dated May 2005. Written confirmation must be forwarded to CSCI showing how and when requirements made have been met. A minor shortfall is noted in this respect. Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 19 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 X 4 X 3 X 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 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 2 Beckfield DS0000033521.V279992.R01.S.doc Version 5.1 Page 20 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. 2 Standard OP1 OP38 Regulation 4&5 23 Requirement The amended statement of purpose and service user guide must be forwarded to CSCI. An action plan/written confirmation must be forwarded to CSCI showing how and when requirements in the fire report dated May 2005 have been addressed. Timescale for action 01/04/06 01/04/06 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.V279992.R01.S.doc Version 5.1 Page 21 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.V279992.R01.S.doc Version 5.1 Page 22 - 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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