Inspection on 31/08/05 for Beckfield House Residential Home

This inspection was carried out on 31st August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 House Residential Home 11/07/06

Beckfield House Residential Home 05/12/05

Beckfield House Residential Home 14/03/05

Beckfield House Residential Home 01/03/05

Beckfield House Residential Home 29/03/04

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 Beckfield House Station Road Heighington Lincoln LN4 1QJ Lead Inspector Doug Tunmore Unannounced 31 August 2005 10:00 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 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 C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beckfield House Address Station Road Heighington Lincoln LN4 1QJ 01522 790314 01522 790316 Telephone number Fax number Email 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 B Cowan Care Home 25 Category(ies) of Old Age (OP) - 25 registration, with number of places Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 March 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. The home is owned by Allington Healthcare Ltd. The day to day running of the home is the responsibility of a registered manager. The homes Service Users guide states that the principal of the home is to provide a high standard of care and comfort for all residents in a safe, managable and comfortable environment. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 10.00 am and was carried out as the first of two statutory inspections for 2005/2006. The main method of inspection used was called case tracking, which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observations of care practice. A partial tour of the premises What the service does well: What has improved since the last inspection? What they could do better: Care plans seen need to be more prescriptive regarding the personal care given to residents. The care plans also need to reflect how privacy and dignity are maintained when undertaking personal care. An immediate requirement was made relating to the home not carrying out Criminal Record Bureau checks on one member of staff before appointing. Staff files seen also did not contain identification or the required references for staff working at the home. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 6 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 C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 standard(s) 3 Residents are admitted into the home only after a full care needs assessment has been carried out either by the home, Health Professionals or Social Services. However, the home does not confirm in writing to prospective residents that the home can meet their assessed needs. EVIDENCE: The home has a detailed care needs admission procedure, which identifies the needs of residents coming into the home. One resident said that she was visited prior to admission and her daughter-in-law had been involved. Another residents confirmed that she had undertaken short-term care before coming into the home and that they knew all about her. One resident had an assessment undertaken by the Social Services Department prior to admission. Files seen showed that residents had not received a letter from the home confirming that the home could meet their care needs. The care worker spoken to knew about the care needs of residents and was aware of the homes care needs admission assessment and the part it played in care plans for residents. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 & 10 There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. An accurate record of medication given to residents is kept. EVIDENCE: All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed on a monthly basis or sooner depending on changing needs. Monthly reviews of residents care plans are undertaken and signed by the resident or their representative. One resident said that she has signed her care plan and has attended a review with her daughter. Another resident remarked that ‘on the whole it is very good here’. The commission received nine comment cards from relatives/visitors, which confirmed that they are kept informed of important matters affecting their relative or friend. Seventeen comment cards were also received from residents, with fifteen stating that they like living in the home. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 10 Individual care plans evidenced that accidents are recorded in the home’s accident book and in the residents daily notes. The home does not use body maps for the mapping of any cuts or abrasions to residents. The manager commented that she would look at implementing the use of body maps as part of the accident procedures for the home. Two accident forms were checked through the homes accident procedures and it was found that accidents to a resident had been recorded appropriately. One carer commented that she had undertaken national vocational care training, which covered the intimate care needs of residents. However, it was noted that care plans did not record the need to maintain the privacy and dignity of residents being prescriptive to individual residents. A resident commented that staff stay with her and close the door when she is being bathed ‘I am confident now when being helped by staff’. One community nurse spoken to on the telephone confirmed that there was good communication between the home and herself. The community nurse also said that staff were helpful and could follow instructions given to them regarding the care of residents. The pharmacist inspected the home on the 30/06/05 and recorded that spot checks on medication, homely remedies and medication collected for disposal are carried out appropriately and no recommendations were made. None of the residents seen at this inspection look after their own medication. A check of the residents’ medication sheets showed that no errors had been made on the day of the inspection. Files showed that GPs and community nurses visit the home to attend to the health care needs of residents. One resident stated that the GP visits routinely and another confirmed that she visits her GPs surgery when she wishes. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 standard(s) 13,14 & 15 Relatives and friends of residents are made welcome in this home. Meals are well managed and reflect resident’s likes and dislikes. EVIDENCE: The homes visitors signing in book was seen and showed that numbers of visitors attend this home on a daily basis at differing times of the day. The community nurse confirmed that she ‘always gets a cheerful greeting’ when she visits. Residents confirmed that they have visitors in their rooms and that they are made welcome by care staff. One resident said ‘I see my family in my own room -lovely room’. Residents confirmed that they went to Cleethorpes for that day and that they go to the Pantomime at Christmas, as well as shows in the summer. The vicar visits once a month on a Friday. The notice board showed forthcoming events and photographs taken of residents at Cleethorpes. The care worker stated that live entertainments visit this home and the hairdresser also visits. The inspector joined three residents for lunch and found the meal provided to be hot and delicious. Residents said that they have a choice of meals and they particularly like the food served in tureens so that they could help themselves. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 12 One resident stated that the ‘care is very good, wouldn’t be many people if the food and the treatment wasn’t so good’. The cook was spoken to and commented that she has access to residents’ files, which record the likes and dislikes, as well as specialised diets required by individual residents. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 standard(s) 16 & 18 The home takes the issue of addressing complaints very seriously and has a comprehensive complaints policy. Staff are aware of how to respond to a complaint or an adult protection allegation. EVIDENCE: The home has displayed the service users guide, which contains the homes complaint procedures, in the main entrance. The home has a detailed complaints procedure. The home has not received any complaints since the last inspection. Residents seen said that if they had a concern that ‘they would tell Beverly’, the manager and ’all staff are kind here’. Seven of the nine relatives/visitors surveyed said that they were aware of the home’s complaints procedure, but had not had occasion to use it; however three relatives indicated that they did not know how to go about lodging a complaint. Fifteen of the seventeen residents who returned their survey questionnaire confirmed that they were aware to whom they should speak if they were unhappy with their care. None of the residents spoken to said that they had problems with any care worker. The care worker spoke knowledgably about abusive practices and what action she would take if this came to her attention. Staff have adult protection training as part of the homes ongoing training programme, with training planned by an outside agency for the 7/09/05 and 14/09/05. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 standard(s) 19 & 26 The home is well maintained, the standard of the environment and its facilities are appropriate to the needs of residents. EVIDENCE: The home has a record, which records improvements to the fabric of the home. Invoices showed that floors have been re-carpeted in a bedroom, toilet and one of the lounges. A tour of the home found that it was well maintained and adequately decorated. Residents seen during the tour of the building said that they like their rooms and are able to personalise them with their own possessions, within reason. Residents’ files showed that risk assessments were available which highlighted risks to residents posed by the homes environment and action to be taken. A tour of the building found it to be clean and tidy with no unpleasant odours detected. The community nurse said that the home is always clean and smells nice. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 15 The home does not have a sluice. The proprietors have agreed to install a sluice as part of proposed extension. There has been a considerable delay in starting the extension due to planning difficulties. However, it remains a requirement for the home to have a sluice. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Residents are not always protected by the homes current recruitment process, which does not carry out appropriate checks. EVIDENCE: This inspection found that one care worker had been employed without having the appropriate POVA First/CRB checks (Protection of Vulnerable Adults checks and Criminal Record Bureau checks) being undertaken. This workers file did not have any identification or current photograph. Another care workers file did not contain the appropriate references required. An immediate requirement was made regarding the above. Due to the worker being in the kitchen he is not having contact with residents and is being supervised at all times. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These outcomes were not looked at. EVIDENCE: Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 2 STAFFING Standard No Score 27 x 28 x 29 1 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x x x Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 19 no Are there any outstanding requirements from the last inspection? 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 3 10 Regulation 14(d) 12(4)(a) Requirement All prospective residents must be written to confiriming that the home can meet their care needs. The home must record in idividual residents care plans how they are going to maintain the privacy and dignity of residents. The registered person had planned to incorporate a sluice during the building of an extension. This proposed extension has been delayed because of planning (now granted). However, it is a requirment to have a sluice within the home.(Timescale of 2004 not met) The registered person must ensure that they operate a thorough recruitment procedure based on equal opportunities and ensuring the protection of Vulnerable Adults, with particular attention to the staff completion of an application form. This inspection found that a worker has been employed without a POVA/First/CRB check being undertaken. An immediate requirment has been made due Timescale for action 15/10/05 15/10/05 3. 26 13(3) 15/02/06 4. 29 19 Immmediat e. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 20 to residents being put at risk. (Timescale of 30/04/05 not met) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 10 Good Practice Recommendations The home should use body maps as part of the homes accident procedures so as to map out all those bruises/cuts that residents might have if the have an accident. Beckfield House C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 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 C53 CO4 S2700 Beckfield House V245598 310805 Stage 4.doc Version 1.40 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. 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