Inspection on 02/10/08 for Beddell House

This inspection was carried out on 2nd October 2008.

CSCI found this care home to be providing an Excellent service.

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

Beddell House 04/10/06

Beddell House 16/02/06

Beddell House 31/01/06

Beddell House 25/11/04

Beddell House 22/07/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beddell House Sherburn House Sherburn House Durham DH1 2SE     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Suzanne McKean     Date: 0 2 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Beddell House Sherburn House Sherburn House Durham DH1 2SE 01913720421 01913720035 admin@sherburnhouse.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Joanne Lisa Carr Type of registration: Number of places registered: The Corporation of the Master and Brethren of Christ`s Hospital care home 62 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Beddell House is a residential care home, with accommodation for up to 62 people on three floors. It is in a very attractive old building, with an interesting history. It is set in its own large grounds, with a church and sheltered housing on the same site. Its location is rural, just outside the city of Durham. The home has its own minibus. 0 Over 65 62 Care Homes for Older People Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Summary. This is an overview of what the the inspector found during the inspection. How the inspection was carried out. Before the visit we looked at, information we have received since the last visit on 04/10/06. How the service dealt with any complaints & concerns since the last visit. Any changes to how the home is run, and the provider’s view of how well they care for people. We also looked at the views of people who use the service & their relatives, staff & other professionals. Care Homes for Older People Page 5 of 25 The Visit An unannounced visit was carried out over six ours on 2nd October 2008. During the visit we: Talked with people who use the service, relatives, staff, the manager & visitors. Looked at information about the people who use the service & how well their needs are met and looked at other records which must be kept. We also checked that staff had the knowledge, skills & training to meet the needs of the people they care for. We looked around the building/parts of the building to make sure it was clean, safe & comfortable and checked what improvements had been made since the last visit. The home charges fees ranging from 353 and 471.50 depending upon the individual needs of the resident. We told the manager what we found. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Older People Page 7 of 25 following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good assessments carried out before a place is offered, makes sure the home will only offer a place if they can safely care for the resident. The resident can therefore be confident that their needs will be met. Evidence: The care plans examined all contained the necessary information to show that assessments are carried out before any resident is admitted to the home. The documentation is detailed and contains all of the necessary information for the staff to make a judgment as to the ability of the home to meet their needs. This also then determines if a place should be offered to the resident. People had a copy of the statement of purpose and service user guide to inform them of the homes facilities and enable an informed choice as to if they wish to move in. These assessments then form the basis of the care planning process. Care Homes for Older People Page 10 of 25 Evidence: Residents said that they were given the opportunity to visit the home before they decided to move in but a number of them had relied upon their family to choose for them. One said that she was pleased with the home that had been chosen for her and that it lived up to what she had heard about it before she moved in. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home have their health and personal care needs met in a planned way, delivered with respect and maintaining their dignity. Evidence: All residents have a care plan which includes a detailed assessment and a plan of care with re-assessments to determine if the plan is meeting the needs of the resident effectively. They show that the personal and health care needs of the residents are being met. Staff have ongoing training in how to complete the documentation. The manager uses the audit of the care plans to support the staff in improving their skills in this. The staff spoken to were knowledgeable about the contents of the care plans. They have quite recently become involved in writing the care plans and are at different stages in their abilities to do this. However all were completed to a good standard. The home has a general risk assessment document which are completed for a selection of areas including falls. This supports the residents to make life style choices. Care Homes for Older People Page 12 of 25 Evidence: Residents are supported to access National Health Service services and facilities as and when they need to. The home work well with the General Practitioners who provide care to the residents. The staff were supporting the residents in a way, which was pleasant and courteous, and number of residents were seen enjoying the company of the staff. Residents were dressed for the activities they were undertaking and happy with the way they were supported to do this. A number of residents spoken to during the visit were positive about the care being given. An example of this was staff are very helpful and I am happy that I chose to live here. Care is given in a discreet manner taking into account the individual residents previous lifestyles and the way they want to spend their time. Staff are knowledgeable about residents’ preferences and needs. When supporting the residents the carers were explaining to residents what was about to happen and what they were going to do so. This helps residents to understand what to expect when being helped. This was particularly evident in the way they were flexible in how they gave the care according to how the resident was feeling. The residents use their individual rooms if they need to discuss issues with family, friends or staff so that their privacy is safeguarded. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents are given opportunities to spend their leisure time in a a variety of ways and are supported to maintain contact with their families and the local community. Evidence: The home employs an activities co-ordinator for twenty-seven and a half hours a week. She has now been in post approximately two years and has made significant improvements in the way social activities are offered in the home. The activities co-ordinator was knowledgeable about the social and recreational care needs of the service users. This was shown in the care plans and confirmed by residents. There are regular activities for the service users. One service user described some of the opportunities they had been offered and although they felt that this was enough they did not always want to take part. The home has two minibuses, these offer the resident opportunities to travel to both local shops and attractions further away from the home. Examples of these places are Bowes Museum, the Gala Theatre, the coast, and Barnard Castle. The buses are also made available on a weekly basis so that residents can go to Durham on Wednesdays Care Homes for Older People Page 14 of 25 Evidence: and a local shopping centre on another day. Service users confirmed that they enjoy the activities organised for them, including visits to the home by local entertainers. The residents are supported to continue their religious practices although this the home does not restrict its admissions on a religious basis. There are services, which are well attended by people who wanted to be involved. Service users confirmed that they are free to join in social activities if they wish and that they are not made to join in activities if they do not want to. Recent improvements to the home have included a cinema room, which is very well set up so that residents can see the large screen easily. It has black out curtains so that it can be used in the daytime. The activities co-ordinator has also made links with Age Concern from whom she can access a variety of equipment and support material. Relatives commented that they are aware of the activities that the staff organises for the service users. The home supports the relatives to make positive contribution to the care provided in the home. There is a six-week rotational menu in operation in the home. Past menus indicate that the home provides wholesome and nutritious meals for the service users thus promoting good health. Service users were very complimentary about the food. They confirmed that they are provided with good choice and that there is always plenty of food for them. A recent resident satisfaction survey carried out in June 2008 showed that the residents are satisfied with the choice and quality of the food. With the majority of them reporting that the food was good, very good, or adequate, in equal numbers. None described it as poor and only a very few said it was fair. There is also good evidence that following a specific food survey changes were made to the menus to give more selection and including more spicy and unusual options. The residents are encouraged to maintain their independence at meal times by having vegetables in separate dishes and gravy boats on the tables. This also gives them more choice as they can serve themselves. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good policies and procedures in place to that make sure complaints can be dealt with efficiently and that residents are safeguarded from abuse. Evidence: There are good policies and procedures available setting out how to make a complaint. The procedure is displayed in the home and the staff knew how to deal with any complaints that are raised with them. There have been no formal complaints recorded since the last inspection. Although there is a complaint which is currently being investigated. The residents and relatives spoken to were aware of the complaints policy and said that they would know who to speak to if they had any concerns. The residents spoken to feel that any concerns they have are dealt with through the resident meetings, the open door policy and the processes used to find out the views and opinions. There are policies and procedures in place for Adult Protection. The staff have received training that is ongoing. This includes how to recognise abuse and what to do if they suspect that abuse is taking place. Staff interviewed understood these principles and could describe the way they would act in response to any concerns they had. Care Homes for Older People Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The residents have a clean and homely place to live, which is safe and well maintained. Evidence: The home is a very impressive old building set in its own grounds. It is in a small rural village location but close to the city of Durham. The home offers accommodation that is clean and well maintained, and has design features to help people of this client group, such as a very modern lift and level access to the home. This promotes their dignity, comfort and welfare of people living in the home. The residents are encouraged to furnish their rooms with personal items, making it pleasant and familiar environment for them. There are a variety of shapes and sizes of bedroom available. Bedrooms seen were particularly well personalised and show the diverse lifestyles of the residents living in the home. Although the communal areas are very nicely decorated, some of the bedrooms are now in need of redecoration. It is acknowledged that this can be very intrusive for the individual resident particularly where they have a cluttered room as they would need to move out. This was discussed and the home has a strategy for carrying out the redecoration programme. Access into and within the home is good and meets the needs of those service users Care Homes for Older People Page 17 of 25 Evidence: who have mobility difficulties or have use of walking aids such Zimmer frames or wheelchairs. There are specialist bathing facilities to promote independent use by those who are capable of doing so. All the bedrooms and toilets have suitable lock on the doors to ensure privacy. This provides the opportunity for service users to remain independent and to enjoy good levels of privacy. There are sufficient numbers of communal areas for service users to choose from. These include a range of lounges, dining rooms, and communal spaces that people living in the home can use. Window restrictors have been fixed to all windows and all radiators have suitable coverings, which ensure security and safety for the service users. Checks of hot water are carried out by the home and these show that hot water did not exceed 43°c. thus protecting the service from accidental injuries. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The staff confirmed they have had training in health and safety, infection control and food hygiene. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. The home was noted to be clean and free from offensive odours. Staff were following appropriate control of infection practices to reduce the risk of spreading infection in the home. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are skilled, well trained, and competent staff employed in sufficient numbers to make sure that they can provide good care to the residents. Evidence: The home maintains good staffing levels, which ensure that service care needs are met. Rotas showed staffing levels being consistently maintained. The home has a long established staff team who have been provided with the necessary training to equip them for their job. The majority of the staff have attained NVQ qualifications. Staff spoke of the good training they have received and the benefits to them and the service users. Examination of the staff training record showed there is up to date training all of the areas necessary for the staff to be safe in their roles. Although there are some gaps these are planned for or where there are extenuating circumstances for individual staff and this is being dealt with. There is a good induction procedure for new staff into the workplace. There is good documentary evidence of induction training provided for all new staff. This makes sure that the registered persons can satisfy themselves that staff have received proper induction and have been assessed as competent to undertake their duties Care Homes for Older People Page 19 of 25 Evidence: unsupervised. The records of the most recently appointed staff were examined. These contained evidence of good recruitment procedures being followed. This ensures that the service users are protected from possible abuse from people who would be deemed as not suitable to work with vulnerable people. Suitable references have been obtained and checks such enhanced Criminal Records Bureau and identification checks have been carried out and were all in order. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The registered manager and her team have very effective ways to manage the home in the best interest of the people living there. This protects them and supports them to live useful and meaningful lives. Evidence: The Registered Manager, Joanne Carr, has the appropriate qualifications and experience to successfully manage the home. She is a Registered Nurse with extensive experience in looking after older people. She contributes toward the general feeling of well being in the home. Staff said they felt well supported and were able to work toward qualifications. Supervision is offered to the staff so that they have an opportunity of one to one discussion with management. The way that supervision was being offered was discussed. The programme is generally up to date as there is a programme in place. Care Homes for Older People Page 21 of 25 Evidence: The manager is responsible for both implementation of safe working practices such as testing water temperatures and fire safety but also for auditing all systems and procedures through the home to ensure safety of residents, visitors and staff. The statutory requirement for the home to have an internal monitoring system (Regulation 26) to look at the quality of the service being offered is met by the Home Care Committee who are representatives of the Board of Governors. the records are kept of this. The home is subject to regular internal audit. The recent resident satisfaction survey has been analysed and a report is available to show the people living in the home what the outcomes were. There are regular resident meetings where the residents are consulted in the way the home is run and records of these are kept. The residents are supported to be involved in the decisions that are made about the way the home is run and choices that are made. An example of this was a recent process of choosing furniture when three options for chairs were brought into the home for the residents to try and the decision was made taking into account their views. The accident recording in the home is robust. Case tracking showed that entries in the accident book were reflected in the daily record within individual care files. Accidents are monitored and analysed so that risks can be identified. Safety is promoted for residents by using these systems effectively and by having a staff group that is trained in fire safety, moving and assisting, infection control and food hygiene. Staff meetings are held regularly and staff said that they found them useful, giving the chance to hear what is planned in the home. They also have the chance to raise any concerns they have. Residents are supported to remain as independent in management of their personal finances and are assisted when they are no longer able to do this. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - 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!