Inspection on 01/11/05 for Beckside Nursing And Residential Home

This inspection was carried out on 1st 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

Beckside Nursing And Residential... 03/01/07

Beckside Nursing And Residential... 03/05/05

Beckside Nursing And Residential... 30/11/04

Beckside Nursing And Residential... 26/05/04

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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 Beckside Nursing And Residential Home Middle Street North Hykeham Lincs LN6 9QX Lead Inspector Julie Western Unannounced Inspection 1st November 2005 09:30 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 Beckside Nursing And Residential Home DS0000002531.V262604.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. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beckside Nursing And Residential Home Address Middle Street North Hykeham Lincs LN6 9QX 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) 01522 693461 01522 682032 The Orders Of St John Care Trust Mrs P Hartin Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61) of places Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Conditions of registration 1. The Registered Provider employs a `Lead Nurse` who is a first level registered nurse, who reports to the Registered Manager, but who has direct line management responsibility for the nursing staff, including both formal and clinical supervision. 2. The `Senior Manager` (also being a member of staff of the Registered Provider), who has direct line management responsibility for the Beckside Registered Manager, is a first level registered nurse. This manager will provide the clinical supervision of the `Lead Nurse`. 3. For so long as Ms. Pat Hartin is the Registered Manager of this establishment, the arrangements as set out in conditions 1 and 2 shall be in place. Any proposed changes to these arrangements or the personnel involved will be notified to the CSCI. Date of last inspection 3rd May 2005 Brief Description of the Service: Beckside Care Home is situated in the centre of the village of North Hykeham and is within easy reach of local shops, community facilities and public transport; this transport also runs to Lincoln city centre, some three miles away. The home, a former Local Authority home, is owned by the Orders of St. John Care Trust, a registered charitable organisation managing 15 other homes in Lincolnshire. The single-storey building, comprising four quadrangles each with its own enclosed courtyard garden, is set in its own grounds and there is space for car parking to the front of the building. Beckside is registered to accommodate 61 people over 65 years, for General Nursing and Residential care. On the day of the inspection, 59 people were being accommodated in total, 28 of these requiring nursing and 31 requiring residential accommodation. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 3 ½ hours. A partial tour of the building took place and care records were inspected. The main method of inspection used was called ‘case-tracking’; this involved selecting three residents and tracking the care they received through the checking of their records, discussions with residents and care staff and observation of practices. Some policies and procedures were examined and records concerning the safety of the home were also seen. Seven of the 57 residents, seven of the 47 care and ancillary staff and four visitors were spoken with. The Manager was present throughout the inspection. What the service does well: What has improved since the last inspection? The rolling maintenance programme has continued with several more bedrooms having been redecorated. Eight new reclining chairs have been purchased for the lounge in the nursing area. A new shower chair has been purchased for wheelchair users. The greenhouse in one of the courtyards has been equipped with electricity and shelving to enable one of the residents to use it for growing plants and vegetables. Several staff members including the Manager have attended a training course on Customer Service. Beckside Nursing And Residential Home DS0000002531.V262604.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. Beckside Nursing And Residential Home DS0000002531.V262604.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 Beckside Nursing And Residential Home DS0000002531.V262604.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): 1-6 The home clearly sets out what it intends to do for its residents; this information is extensive and freely available to residents. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: The statement of purpose was examined and was very comprehensive. A copy of the statement of purpose was in the brochure pack, which was sent or given to all prospective residents or their families. The pack included a copy of the residents’ handbook, a copy of the Quarterly Trust magazine and a summary of the most recent inspection report. The Manager herself, a trained nurse or a Team Leader carried out the pre-admission assessments of residents, either in their own homes or in a hospital or care setting. Residents were assigned a key care worker who assisted them to settle in. Two residents described how they had been to the home for a day and token part in meals and activities before becoming permanent residents and another said she had attended the home previously for respite care. Beckside Nursing And Residential Home DS0000002531.V262604.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): 7,9,10,11 The home’s records give a clear picture of the needs of residents and enable staff to meet their needs with sensitivity and regard for their privacy and dignity. EVIDENCE: The three care plans looked at in depth contained clear and comprehensive assessments, were reviewed regularly and were signed where possible by the service user or relatives/advocates. There was a clear medication policy and the most recent visit by the pharmacist had no requirements or recommendations. Residents said they felt safe and well looked after; one said ‘they always take the time to help you’ and a visiting clergyman said ‘they’re so friendly and nice’. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. The home had recently been selected by a local surgery to be one of 100 homes throughout England to pilot the Gold Standard Framework national scheme in palliative care. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 10 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 Social activities are extensive and well promoted, creating a variety of events and activities which residents are informed about. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: Twenty hours were allocated weekly for an activities co-ordinator, who was responsible for producing a newsletter informing residents of forthcoming events; a resident said that these included movement and music for wheelchair users and outings to local pubs and coffee shops. Four hours weekly were also allocated for hand massages. Some residents expressed the wish to go out in their wheelchairs accompanied by staff and this wish was passed on to the staff member responsible for arranging outings. One resident described how some residents went to another OSJCT home for coffee and quizzes/games. Another resident had taken up painting following the regular painting classes held in the home. A staff member described how all the nursing care residents who were unable to mobilise were taken for the day to Spalding with one-to-one care. The kitchen was inspected and kitchen staff members were spoken with. Menus were examined and service users were observed eating the mid-day meal. All service users spoken with said the quality of the food was very good and that they enjoyed the meals and that they had an extensive choice, including a daily fried breakfast if they wished. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 11 The home had a qualified chef and both he and the cook on duty had achieved NVQ 2 in catering and were undertaking the Intermediate Food Hygiene course. The kitchen diary showed that 9 pureed and 6 diabetic diets were being prepared. The cook said a daily quality audit of the meals involved visiting the residents and asking them their opinions of the meals served that day. Residents also compiled menus with the cook at residents’ meetings. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure. EVIDENCE: Residents and visitors spoken with all said they did not wish to complain but knew how to make a complaint. All complaints were audited by the Quality Manager at the home’s Head Office. A suggestions box was located in the front entrance hall and the home had received many letters of praise, which were kept in a folder for visitors and staff to read. There was a clear adult protection procedure, which was linked to the Local Authority procedures. Staff members spoken with had all received training on adult abuse as part of their induction training and were knowledgeable about complaints. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 13 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): 19,20,23-26 The residents live in a comfortable, pleasant and safe environment with both private and communal space being on the whole suitable for their needs. EVIDENCE: The home has a rolling maintenance rota and risk assessments are carried out on the premises to ensure that residents are safe from any potential hazards. Recent renovation has included the purchase of eight new reclining chairs for the lounge in the nursing area. Some of the rooms had an en-suite toilet separated from the room by a curtain. Overall, the standard of decoration internally was good and afforded residents a great degree of comfort. Externally, the paintwork to the doors and windows, and in particular, the front entrance doors, was shabby. The home smelled clean and fresh throughout. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 14 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): 27,29,30 Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent; they undergo an induction programme before commencing their duties. EVIDENCE: The residents were very positive about the care they received from the staff. One said ‘I’m very lucky to be here – the staff are wonderful’. The most recent staff member to be appointed confirmed that she had given two references, which were followed up, a CRB check and undertaken an induction programme before commencing work. Training records showed that statutory training was completed with recent specialist training being in customer services, diabetics and nourishment for older people; a senior care leader also said she had been on a Supervisory Development course a year ago. Twenty-two staff members had achieved the National Vocational Qualification at Level 2 with ten currently undertaking it and a further four had achieved the NVQ at Level 3 with two working towards it. Minutes of the recent staff meeting were available for all staff. The staff rota showed that there were enough staff numbers according to the staffing matrix and shifts were staggered to accommodate the needs of residents. Residents spoken with thought there were enough staff and staff confirmed this. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 15 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, 37 The home is managed competently and the staff are supported and supervised in carrying out their respective roles. The views of residents are listened to and they are involved in decisions affecting them. EVIDENCE: The registered Manager has the National Vocational Qualification Manager’s award at Level 5, the D32, 33 and 334 Assessor’s Awards, being the lead verifier for the Trust in Lincolnshire and has the Certificate in Social Services. She has been in the caring profession for 33 years and has been a Manager for 27 years. The quality assurance manual demonstrated a positive approach to seeking the views of residents and residents spoken with said they were constantly asked for their views on matters concerning the running of the home. The home had been selected to be part of a pilot scheme within the OSJCT for obtaining feedback from residents on activities; this feedback was Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 16 analysed at the Head Office. There was a record of meals with satisfaction, complaints and concerns logged. The home has the ISO 9000 award and the Investors in People award. Letters from residents’ relatives showed that they felt very much a part of the home and questionnaires showed that their views were sought. Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 17 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 4 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 3 11 4 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 2 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 4 X 3 X 3 X Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? None 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 OP19 Regulation 23[2][b] Requirement The registered provider must ensure that the exterior woodwork of the building is repainted Timescale for action 30/12/05 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 Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 19 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 Beckside Nursing And Residential Home DS0000002531.V262604.R01.S.doc Version 5.0 Page 20 - 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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