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Inspection on 11/07/06 for Beckfield House Residential Home

Also see our care home review for Beckfield House Residential Home for more information

This inspection was carried out on 11th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a generally well maintained home, which provides clean and comfortably furnished accommodation for residents. There is an on-going training programme in place for staff to ensure that they have the necessary knowledge and skills to provide residents with the care they need. Residents commented positively about the care and accommodation that is provided. Staff were referred to in terms of being "good and kind" and residents made comments, which indicated that they felt safe, and knew whoto go to if they had a problem. Staff were seen to be attentive to residents needs. Residents have choices as to how they lead their lives in the home and there is a range of recreational and social activities provided both within the home and community.

What has improved since the last inspection?

Action has been taken to ensure that the issues raised at the last inspection have as far as possible been or are in the process of being addressed. For example there has been consultation with the fire brigade and action taken to ensure that the fire precautions in place promote residents safety. Staff have been made aware of the correct use of wheelchairs and the staff-training programme has included various matters such as dementia care and adult abuse. There have been changes to the system of quality checks in operation to enable residents to have more opportunities to express their opinions about the service such as the introduction of residents meetings and the development of a report to reflect the outcomes of residents` surveys. The manager is committed to ensuring standards are maintained and this was demonstrated by being proactive with regard to implementing some of the recommendations made at the time of the inspection. There continues to be progress to ensure that the workforce of 50% of staff has achieved a vocational award in care.

What the care home could do better:

There is an outstanding requirement in relation to a sluice being provided however this is incorporated in a planned extension to the home. As the current arrangements with regard to the dealing with soiled linen are satisfactorily managed and an action plan is in place to address this matter this has been removed as a requirement. In order to ensure the arrangements for the storage of refrigerated medication is satisfactory it is recommended that there is liaison with the local pharmacist.

CARE HOMES FOR OLDER PEOPLE Beckfield House Residential Home Station Road Heighington Lincoln Lincs LN4 1QJ Lead Inspector Sue Hayward Key Unannounced Inspection 11th July 2006 13:00 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 House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beckfield House Residential Home Address Station Road Heighington Lincoln Lincs LN4 1QJ 01522 790314 01522 790316 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) Allington Healthcare Limited Mrs Beverley Cowan Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th December 2005 Brief Description of the Service: Beckfield House is a late Victorian, two-storey house that is set in its own grounds. The mature gardens are well maintained and accessible to the residents. The home is located in a village that is four miles from the centre of Lincoln. The village of Heighington offers amenities such as a post office, bakers and a small supermarket as well as a number of public houses and a church. The home is a converted private residence that has undergone a considerable amount of refurbishment and development. Accommodation for the residents is on two floors. The first floor is accessed by a stair lift. Allington Healthcare Ltd owns the home. The day-to-day running of the home is the responsibility of a registered manager. The homes Service Users guide states that the principle of the home is to provide a high standard of care and comfort for all residents in a safe, manageable and comfortable environment. Information provided prior to the inspection on 01/06/06 indicated that the current range of fees is from £340 to £388. Hairdressing, chiropody, off premises entertainment, newspapers, preferred personal toiletries and taxi/private transport are charged separately. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home was undertaken by one inspector and formed part of a key inspection. It started at 13:00 and lasted five hours. Information already held on file was used to plan the visit and produce this report. This included the pre-inspection questionnaire, records of any incidents that had been notified to the CSCI since the last inspection and reports of monthly visits by a company representative. It also included checking the records that the CSCI keeps in relation to the service history. Have your say questionnaires had been returned to the CSCI from twelve people, which included comments from some residents and some relatives. A return visit was made on the following day to give feedback about the outcomes of the inspection to the registered manager after analysis. This lasted 15 minutes and the manager confirmed that she had addressed as far as possible the matters arising. The site visit focussed on key standards and checking whether issues raised at the previous inspection had been addressed. . “Case tracking” was the main method used. This involved checking the care records of three residents with a range of needs and discussion with two of them. Three other residents were also spoken to. A partial tour of the home was made as part of the “case tracking” process. Four staff members were spoken with as was the registered manager who was present throughout the site visit. Observations were also made of staff undertaking aspects of their work. General feedback was given at the end of the visit and a feedback form completed and delivered to the home the following day. What the service does well: This is a generally well maintained home, which provides clean and comfortably furnished accommodation for residents. There is an on-going training programme in place for staff to ensure that they have the necessary knowledge and skills to provide residents with the care they need. Residents commented positively about the care and accommodation that is provided. Staff were referred to in terms of being “good and kind” and residents made comments, which indicated that they felt safe, and knew who Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 6 to go to if they had a problem. Staff were seen to be attentive to residents needs. Residents have choices as to how they lead their lives in the home and there is a range of recreational and social activities provided both within the home and community. What has improved since the last inspection? What they could do better: There is an outstanding requirement in relation to a sluice being provided however this is incorporated in a planned extension to the home. As the current arrangements with regard to the dealing with soiled linen are satisfactorily managed and an action plan is in place to address this matter this has been removed as a requirement. In order to ensure the arrangements for the storage of refrigerated medication is satisfactory it is recommended that there is liaison with the local pharmacist. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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 Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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): 3. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are satisfactory procedures in operation for the introduction and assessment of resident’s to the home, which ensure care needs are identified and can be met. EVIDENCE: All records checked demonstrated that the needs of residents had been properly assessed and planned for. A resident who had recently been admitted to the home said she had received sufficient information about the home and had the opportunity to spend a period of time at the home before making the decision to stay permanently. A comment she made indicated that she was aware of the contractual arrangements and a copy of information about the home was seen in her room. It was confirmed by the manager that this information is provided to all residents. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 10 Questionnaires completed by residents or their relatives in all but one instance confirmed that they had received a contract and sufficient information to decide whether it was the right place for them. Assessment information, care plans and records are available for staff to consult. Records checked also demonstrated that information from other care professionals had been obtained as appropriate such as social workers and that residents had been written to, to confirm after assessment that the home was able to meet their needs. Staff comments indicated they knew the admission procedure, which is generally undertaken by the registered manager who visits prospective residents prior to admission. Information about any resident due to be admitted is then passed on to staff. Staff demonstrated that they had a good knowledge of the individual needs and preferences of the residents asked about. Written information about the home is made available to residents and their representatives. The pre-inspection questionnaire confirmed there had been no changes to the homes statement of purpose since the last inspection and that the service user guide was also available in a taped format. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans contain sufficient information to ensure residents’ health and care needs are met and they demonstrate the involvement and agreement of residents or their relatives with them. There are satisfactory medication systems in place, which help to as far as possible protect residents. Residents’ privacy and dignity is promoted. EVIDENCE: The sample of residents records checked had care plans in place, which denoted the involvement of residents or their representatives. There was evidence that these were reviewed on a monthly basis and staff had a good awareness of the needs of residents e.g. those residents who required two staff members to be present when undertaking personal care tasks. Risk Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 12 assessments such as manual handling and tissue viability were also in place. Comments from surveys and residents spoken to at that time of the visit indicated their satisfaction with the care provided. Resident’s comments confirmed that health care is monitored and promoted. A G.P was visiting the home on the day of the inspection. Care records and discussion indicated that residents are able to have visits from other healthcare professionals such as district nurses and social workers as needed. A comment from a staff member indicated that they were aware of the importance of monitoring residents’ health and welfare such as their dietary intake. A pharmacist visits the home periodically and checks on the medication systems in place. The most recent visit occurred on 16/06/06 and the report indicated that systems were satisfactory. The manager is advised to check with the homes pharmacist the storage of those medications, which require refrigeration to ensure they are satisfactory. Comments and records confirmed that medication training is provided for staff that administer medication. They also undergo a competency assessment before taking on the responsibility for administering medication. Record keeping systems were generally satisfactory although there was the occasional use of tippex on a record. The manager agreed that staff would be reminded not to use this on personal records. Discussion with service users and observations made demonstrated that residents’ privacy and dignity is respected and these areas are incorporated into residents’ care plans. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a varied range of activities and leisure interests offered both within the home and community to meet residents’ needs. The meals provided are well balanced and take into account residents personal preferences and special dietary requirements. Visitors are made welcome and residents have as far as possible choices as to how they lead their lives. EVIDENCE: Notices were in place of any forthcoming activities arranged and comments from residents indicated that there is a range of activities and recreational interests provided both within the home and local community. On the day of the visit residents were participating in a tabletop game. There is specific staff time allotted to ensuring residents social needs are met. Comments from residents surveys completed indicated that the majority of residents thought there were “usually” or “always” activities arranged that they could participate Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 14 in. Two said there were “sometimes” activities arranged and one commented that there are “too many activities and too much going on. Every week there is something happening”. Discussion with residents at the time of the visit confirmed that they enjoyed the activities on offer. Since the last inspection residents meetings have been arranged and minutes of these are kept and put on the notice board and include residents comments and suggestions. The home has the use of its own mini-bus to transport residents. Residents spoken to said that they could have visitors at any time and these could be in private if they wished. A comment from a survey that had been completed indicated that visitors were always made to feel “welcome”. Comments from residents indicated that they felt they were able to make their own choices as to their preferred lifestyle in the home e.g. times they chose to go to bed and whether they participated in the activities or entertainment arranged. Staff gave examples of how they enable residents to have choices, such as encouraging them to bring in items to make their rooms more homely and comments from residents spoken to confirmed this. Residents’ comments about the provision of meals were overall positive saying for example “the food was good, incorporated their personal preferences, was nicely presented and plenty of it”. The staff and cook were aware of residents’ personal preferences and individual dietary requirements. Records kept indicated that nutritional needs and preferences are assessed and monitored. Records of staff training demonstrated that food hygiene training was incorporated into the training programme as they have some food handling responsibilities. Whilst there is not a choice of main meal individual preferences are incorporated into it and drinks and snacks such as fresh fruit are available in between meals in the lounge areas for residents to help themselves. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There are satisfactory procedures in place to ensure residents are as far as possible, protected and to ensure any complaints are appropriately addressed. EVIDENCE: There is a satisfactory complaints procedure in place. There was discussion and agreement with the manager that this will be reviewed to reflect recent changes to the CSCI’s own procedures. Residents spoken to said that they would feel comfortable to raise any concerns and knew who to raise them with and who was in charge. Comments from completed surveys in all but one instance indicated that they knew how to make a complaint and this information is included in the service users guide copies of which were seen in those bedrooms inspected. There is a record kept of any complaints received although none had been recorded since the last inspection. Staff were aware of the procedure and how to advise residents if needed. There are satisfactory policies and procedures in place to deal with adult protection issues. One matter has been raised since the last inspection, which was appropriately notified and acted on by the registered manager in order to safeguard staff and residents whilst it was being investigated. The matter was not upheld, the outcome being inconclusive and appropriate action has been taken to ensure as far as possible that residents and staff continue to be Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 16 satisfactorily protected. Training of staff in relation to adult protection is incorporated into the organisations training programme and the pre-inspection questionnaire identified there are procedures in place about such matters. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 17 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A clean, tidy, safe and comfortable environment is provided for residents where they are enabled to personalise their own rooms. EVIDENCE: The areas of the home seen on this occasion were overall clean and tidy and no unpleasant odours were noticed. Residents are able to furnish their rooms with their own personal items and effects should they wish to. There is a maintenance programme in place with records kept of any matters that need attention and when action has been taken to ensure they are complete. Since the last inspection new lounge and stair carpets have been provided and comments from residents surveys confirmed that 10 residents were of the opinion the home was “always” and 2 said the home was “usually” fresh and clean. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 18 Whilst it has been a requirement in previous inspection reports for a sluice to be provided it is noted that the organisation and registered manager have confirmed this is to be incorporated into a planned extension to the home. In the meantime there are satisfactory arrangements in place to deal with soiled linen and the industrial washing machine has a sluicing programme incorporated on it. Staff are aware of the correct procedures to follow when dealing with soiled linen and notices were on view. Staff also confirmed they have equipment provided such as gloves and aprons to promote good hygiene practices. As there is evidence available to demonstrate that this matter is being addressed and the outcomes for residents are being met currently by other means in place this requirement has been removed from the report. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 19 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, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staffing levels are adequate to meet the needs of current residents and provide continuity of care. Staff have the necessary skills and knowledge to provide residents with appropriate care. The recruitment procedure ensures as far as possible that residents are protected. EVIDENCE: Out of the comments received from surveys 7 said that they always received the care and support they needed, 3 said they usually did and 2 said they sometimes did. Staff comments indicated that staffing levels were adequate to meet the needs of residents although mornings were very busy and a staff member felt that at times they were unable to provide care as quickly as they would like in view of the fact that they also had some catering responsibilities at breakfast time. This was not the perception of service users who were spoken to at the time of the inspection who made comments such as “you don’t have to wait long to get help”. Rotas checked demonstrated that there are a minimum of three staff on duty during the day, which sometimes includes the manager and two wakeful night staff. Staff comments indicated that they have regular training opportunities including, mandatory training for example food hygiene, manual handling, fire Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 20 training and First Aid and more specialised training such as dementia. The pre-inspection questionnaire information provided demonstrated that equality and diversity training had occurred in the last twelve months. Some staff have achieved or are in the process of achieving National Vocational Qualification awards in care. It was confirmed that there were now 50 of staff that had achieved or are in the process of working towards a NVQ award at level II or above and an additional 7 staff who are negotiating for funding to do an NVQ award. There have been some new employees since the last inspection although preinspection information received demonstrated that a good proportion of staff have worked in the home for many years. Records are well maintained of the recruitment process demonstrating that references and Criminal Record Bureau (CRB) checks are taken up prior to appointment. Staff confirmed the recruitment process and that an induction training programme is in place. It was discussed with the manager that any issues arising from interviews that need risk assessing prior to appointment are documented and the manager confirmed the following day that this had been addressed. On occasions staff are employed from agencies to cover shortfalls in staffing. The manager confirmed that for consistency purposes they tend to use the same agency and staff where possible. Records were produced from the agency used to confirm the recruitment process, which staff undergo prior to employment. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 21 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, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is being well managed. The quality and monitoring systems of the home have improved to enable the views of residents to be obtained about the quality of the service and how it can be developed. Residents’ health and safety is promoted and there are satisfactory processes in place to ensure that residents’ financial interests are safeguarded. EVIDENCE: Residents were aware of the management arrangements in place and said that they felt able to talk over any problems they had with the manager or staff. The manager has achieved a management award and has a nursing qualification. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 22 There are quality assurance systems in place such as staff meetings and residents questionnaires, which are used to obtain their views about the service. A report was viewed indicating the outcomes of the most recent survey. Since the last inspection, residents meetings have been arranged and residents’ spoken to said they would feel comfortable to raise matters at them. A newsletter is produced after each meeting and made available to residents. The home has achieved and was successful in maintaining in December 2005 the Investors in People award, which is a quality award. In addition the CSCI has been receiving monthly reports of visits by a representative of the organisation who monitors the service. Discussion with manager about financial procedures and a random check of a resident’s money held in safe keeping was correct. There are satisfactory arrangements in place for storage of money or valuables and appropriate records to detail any transactions. Discussion with manager and records checked indicated that there has been consultation since the last inspection with the fire brigade and the report that was provided on 05/01/06 indicated fire precautions were satisfactory. There is a programme in place to provide door guards in preference to the use of wedges to ensure residents are adequately protected in the event of a fire. There are two doors that remain to be fitted with these. Wedges were not seen in use on fire doors on the day of the visit. Discussion with staff indicated that they knew the correct use of wheelchairs to ensure residents safety and staff meeting minutes indicated that this matter had been raised and discussed. There are a range of policies and procedures to ensure the safety and welfare of service users and training about health and safety matters such as manual handling is incorporated into staff’s training programme. Pre-inspection information provided demonstrated that equipment is regularly checked and serviced and records kept at the home demonstrated that there are systems in place to monitor any maintenance issues. Residents’ comments on the day of the visit were that they felt safe at the home. Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 23 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 3 X X 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beckfield House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 House Residential Home DS0000002700.V303268.R01.S.doc Version 5.2 Page 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!