Inspection on 20/09/07 for Beech Close Care Home

This inspection was carried out on 20th September 2007.

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

Beech Close Care Home 24/04/06

Beech Close Care Home 16/01/06

Beech Close Care Home 25/07/05

Beech Close Care Home 16/11/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beech Close Care Home Beech Close Desborough Kettering Northamptonshire NN14 2XQ Lead Inspector Irene Miller Key Unannounced Inspection 20th September 2007 12:00 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 Beech Close Care Home DS0000060165.V347935.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. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beech Close Care Home Address Beech Close Desborough Kettering Northamptonshire NN14 2XQ 01536 762762 01536 762313 Beech.Close@shaw.co.uk www.shaw.co.uk Shaw Healthcare (de Montfort) Ltd 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) Mrs Rose McClarnon Care Home 42 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (7), Old age, not falling within any other category (42), Physical disability over 65 years of age (6) Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Beech Close care home is registered to provide personal care to male and female service users who fall within the following categories:- Old age, not falling into any other category (OP) 42, Physical disability over the age of 65 years (PD(E)) 6, Dementia - over the age of 65 years (DE(E) 12, Mental Disorder, excluding dementia and/or learning disability - over the age of 65 years (MD(E)) 7 No one falling within the category DE(E) should be admitted into Beech Close when there are 12 persons who fall within this category accommodated in the home. No one falling within the category PD(E) should be admitted into Beech Close when there are already 6 persons who fall within this category accommodated in the home. No one falling within the category MD(E) should be admitted to Beech Close when there are already 7 persons who fall within this category accommodated in the home. No one falling within the category MD(E) should be accommodated in any room outside of the area designated as Flat 1 within the Beech Court care home. To accommodate the persons named in variation application V32420 within the category of DE(E), thereby increasing the number of registered places for DE(E) from 12 to 14. This only applies whilst the persons named in this variation are accommodated at Beech Close care home. To accommodate the person named in variation application V33777 within the category MD. To accommodate the person named in variation application V35095 within the cateogry DE. The maximum number of persons to be accommodated at Beech Close is 42. 24th April 2006 2. 3. 4. 5. 6. 7. 8. 9. Date of last inspection Brief Description of the Service: Beech Close is a home providing personal care to 42 residents in the old age, dementia and physical disability categories. The home is situated within the residential area of Desborough and is close to local facilities and amenities. The premises were purpose built some years ago and provide single rooms and a range of communal areas for the residents. These include small lounge areas within the 6 accommodation areas known in the home as ‘flats’ and ‘the Street’ Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 5 area offering a variety of services including hairdressing, tea bar, library, shop and quiet room. All admissions to the home come through the local authority and the fees are in the region of £420.20 to £445.00 per week. The homes Statement of Purpose and Service User Guide is located within the front entrance of the home together with the most recent CSCI Inspection Report to inform residents and their representatives with information on the range of services that the home has to offer. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for Service Users and their views of the service provided. The visit was unannounced and focused on ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for older people. The care needs of four people living at the home were looked at in depth this involved looking through written information available on their care, such as their care plans (a care plan sets out how the home aims to meet the individual service users personal, healthcare, social and spiritual needs). During the time spent at the home discussions took place with some of the people living in the home, staff and the registered manager, and in addition sample checks were carried out on the homes policies and procedures and records in relation to staff recruitment, complaints, and general maintenance and upkeep of the facility were viewed. Prior to this unannounced visit the Commission for Social Care Inspection (CSCI) sent out to the home the Annual Quality Assurance Assessment (AQAA) which provides the registered manager with the opportunity to self assess how the home is meeting the National Minimum Standards (NMS) outcome groups. Information received from the AQAA and other information gathered during the unannounced visit formed the basis for reaching judgements on how the home is meeting the National Minimum Care Standards and the Care Standards Act 2000 Regulations. The AQAA was not returned back to the Commission for Social Care Inspection by the due date and therefore sample checks were carried out on the homes policies and procedures, quality assurance systems, health and safety records and general observations on the environment and the general maintenance and upkeep of the facility were viewed. Also during the visit time was spent sample checking staff recruitment records, and the homes medication systems. Prior to the visit information about the facility such as the previous inspection report and the homes service history were reviewed (the service history details all contact with the home including notifications of events, telephone calls, letters, and details of any complaints and concerns received). Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 7 A random unannounced visit was undertaken on 26th February 2007 at the home and a copy of the inspection outcome letter is available on request. The registered manager Rose McClarnon was not available at the home, however an interim manager from within Shaw Healthcare Lorraine White was available throughout the visit. What the service does well: Within the care plans viewed there was information available on the residents hobbies and interests, the manager explained that the organisation had been working on putting together a ‘getting to know you’ document for staff to record residents individuals, social, emotional, spiritual, cultural and practical lifestyle preferences. A monthly newsletter is published, announcing events, and forthcoming events and was on display on the residents notice board located in the ‘street area’ of the home, minutes of the last residents meeting (that take place every three months) were available and the results of the most recent service user and relatives quality assurance satisfaction survey. Visiting entertainers are welcomed into the home, on the day of the visit an outside entertainer visited the home to sing for the residents, on speaking with the residents they said they always looked forward to ‘Tony’ visiting that they got a lot of enjoyment from watching him perform. Residents were possible are encouraged to making choices about how they spend their time such as reading, watching television, others prefer to spend their time in the ‘street’ area of the home. There are a variety of food choices available and the home caters for people with food allergies or intolerances. Smoking is permitted for residents within a designated conservatory style area located on the ground floor an extractor fan had been fitted and appeared to be effective in ensuring that the smoke did not permeate into the rest of the building. The home operates a robust staff recruitment procedure and training programme to ensure that residents are cared for by skilled staff and protected from abuse. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 8 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 9 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 Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (standard 6 is not applicable to this service) Quality in this outcome area is good. Pre assessments are carried out prior to people moving into the home to ensure that the home can meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the four care plans looked at there was evidence of pre assessments having been carried out prior to admission into the home and in discussion with residents it was again confirmed that the home had sought information on their physical and emotional needs, likes and dislikes. One of the residents spoken with said that they had been given the opportunity to visit the home prior to moving in and that due to practical circumstances had been unable to visit, but that they were very happy with the room that they had been provided with. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 11 At a point of approximately four weeks following admission a review is held with the resident and their representatives to enable them to assess whether the home is able to meet their identified needs and that they will be happy at the home. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 & 10 Quality in this outcome area is adequate. The assessment and care planning systems in place in general identify the health and personal care needs of the residents, however shortfalls in the effective monitoring of changes to residents health conditions may cause residents undue distress. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In general information was available for staff to follow within the care plans that covered the individual residents range of physical and emotional needs and there were records available of when residents had been seen by their General Practitioner, the district nurse, chiropodist, optician and dentist. However within the ‘daily notes’ section of one of the care plans seen there were several entries of when the resident had been calling out during the day and night and it was recorded that the residents had said to staff that they were experiencing ‘pain in their feet, knees and elsewhere else’, within the Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 13 care plan there was no record of this being followed up, this raised some concerns and prompted further investigation into the care of this resident. Within the ‘daily notes’ section of the care plan there was reference of a pain treating medication having been stopped approximately three weeks prior by the residents general practitioner and another pain relief medication being prescribed which could have been given up to four times a day when required, in addition to an anti-psychotic medication that had also been started, ‘to help settle’ the resident, this medication was prescribed to be given three times a day and once at night. On checking the resident’s medication administration record (MAR) sheet the resident had been given the new prescribed pain relief medication on a few occasions and on each occasion this had been given once a day (am). In discussion with staff they said that the resident often refused to take the pain relief medication, there were records that the anti psychotic medication had been given as prescribed. On speaking with the resident they said that they were in pain, and that they felt awful and the resident appeared drowsy, when asked if they had told the staff about the pain they were experiencing and how they felt the resident said yes. Within the care plan there was reference to staff encouraging the resident to walk, however when speaking with staff they were aware that the resident’s health had declined and that they were no longer able to walk or weight bear. This raised concerns on the importance of staff closely monitoring, recording and reporting changes in the resident’s health conditions in particular the effects of medication changes on the individual. The concerns were brought to the attention of the manager during the visit. The manager confirmed that the Community Psychiatric Nurse (CPN) had been contacted and the general practitioner had been contacted to see the resident on the same day as the visit. Each flat had a safe secure medication storage facility, and on checking the recording and administration records there was some gaps where staff had failed to sign for medication that had been given. The team leaders and the manager are responsible for the administration of medication and all had received appropriate training. In addition as part of the organisations quality assurance systems spot checks are conducted on the medication storage and administration records. Observations made during the visit and discussions with staff and residents evidenced that staff treat the residents with respect and their rights to privacy, dignity and choice are upheld. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 & 15 Quality in this outcome area is good. In general people live in a home that matches their lifestyles, expectations and preferences. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the four care plans viewed there was information available on the residents hobbies and interests, the manager explained that the organisation had been working on putting together a ‘getting to know you’ document for staff to record residents individuals, social, emotional, spiritual, cultural and practical lifestyle preferences. An activity co-ordinator is employed at the home, and there were records available within the care plans of resident’s involvement in social and individual activities that had taken place. A monthly newsletter is published, announcing events, and there is a resident’s notice board available in ‘The Street’ area to publish forthcoming events, on display were the minutes of the last residents meeting (that take place every Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 15 three months), the results of the most recent service user and relatives quality assurance satisfaction surveys, there was dates when bingo, quizzes sing a longs, clothes parties and visiting entertainers were planned to take place. On the day of the visit an outside entertainer visited the home to sing for the residents, on speaking with the residents they said they always looked forward to ‘Tony’ visiting that they got a lot of enjoyment from watching him perform. During the visit residents were observed to be making choices about how they spend their time such as reading, watching television, whilst others preferred to spend their time in the ‘street’ area of the home. Lunch on the day of the visit was a choice of chicken and vegetable pie, with fresh vegetables, fish cakes, or egg salad and there was a choice of hot and cold desserts, yoghurt or fresh fruit, and within the individual lounges there was fresh fruit readily available. Residents said that they were pleased with the meals provided; one resident said that they had recently completed a satisfaction survey and had discussed the choice of meals with another resident, saying that they would like to have tripe on the menu. Residents were observed receiving their meal in one of the lounge/diners the meal portions were ample and well presented. The main kitchen was viewed and was seen to be clean and tidy and the manager explained that there was plans to have the kitchen refurbished and that in the interim it was to be deep cleaned, there was food safety systems in place to ensure that high food safety standards are applied. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 Quality in this outcome area is good. People living at the home can be assured that any concerns or complaints they may have will be listened to, taken seriously or acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was copy of the complaints procedure available on the notice board within the entrance to the home, however the information relating to the Commission for Social Care Inspection was out of date and therefore requires updating. Since the last inspection visit an unannounced random inspection was carried out on 26th February 2007 this was prompted following concerns raised about poor staffing levels, staff training, and residents not being fully consulted about the redecoration and refurbishment programme. Records of staff training evidenced that training is provided on Safeguarding Adults, and in discussion with staff it was demonstrated that they had knowledge of what action to take should they suspect any abuse and the importance of protecting residents from any form of abuse. Beech Close Care Home DS0000060165.V347935.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 Quality in this outcome area is good. The people living at the home are provided with clean, homely surroundings however residents with limited mobility may be at risk of their independence not being fully promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is divided into six separate units each having single bedrooms a communal lounge/dining room and an open plan kitchen area. Since the last inspection visit extensive work had taken place in upgrading the building each of the lounges had been redecorated and new kitchen units fitted. In discussion with residents they said that they were pleased with the results of the redecoration work that had taken place, that it looked clean modern and fresh. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 18 Smoking is permitted for residents within a designated conservatory style area located on the ground floor an extractor fan had been fitted and appeared to be effective in ensuring that the smoke did not permeate into the rest of the building. In discussion with residents they said that they were satisfied with the standard of their rooms, however one resident who was confined to a wheelchair said that they had to rely on staff to get items of clothing out of their wardrobe as the clothes rail was too high to reach and that they found it difficult to get close to their chest of drawers, they said that they had discussed this with their family and there was plans to buy a dressing table with drawers either side that would allow for more ease of access to their items of clothing. The home is registered to care for people within the physical dependency category and there are fixed bath hoist s available, and portable hoists and other moving and handling equipment in use throughout the home. On the day of the visit a resident was being assessed by an occupational therapist to ensure that they had the correct sling for the hoist, which they needed to use. Assessments of the bedrooms in use for people that fall within the physical disability category would ensure that the necessary facilities are provided to meet the individual needs and promote the opportunity to maintain independence. There are ramps leading out of the exit doors and an additional ramp had been recently been created leading out from the side exit of the home, however it was found to be at too steep a slope and insufficient space for people in wheelchairs to manoeuvre, the manager said that this was being addressed and work was in hand with the contractors to rectify the problem. Bedrooms that were seen during the visit were clean and pleasantly decorated and contained personal possessions such as ornaments, small items of furniture and personal effects. The garden was well maintained to include outdoor seating and provided a pleasant view overlooking the local parish church. Beech Close Care Home DS0000060165.V347935.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27,28,29 & 30 Quality in this outcome area is good. The staff team are skilled and appropriately trained, however at times of staff shortages the residents are placed at risk of only having their basic care needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the visit, each of the six units had one member of staff assigned to work within them and there was an extra member of staff ‘floating’ between the six units to provide additional support as and where needed. During the busy periods of the day there is little opportunity for staff to spend socialising with residents, however the staff were seen to respond to resident’s practical needs such as serving meals making teas and coffee, one resident appeared distressed by a letter that they had received and one of the staff was observed to provide emotional support, that helped to ease the residents distress. One resident who was very frail was being cared for in bed, they appeared to be comfortable and there was evidence that pressure area care, fluid and diet intake was being carefully monitored and there was pressure relieving Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 20 equipment in use. The room looked clean and tidy and the resident was surrounded by their personal possessions. In discussion with a member of staff they said that due to staff sickness and the inability for shifts to always be covered at short notice, that on occasions they had worked between the two dementia care units caring for fourteen residents on their own, the member of staff expressed great concern that although all the staff pull together in such a crisis they feared that despite their efforts to attend to residents physical needs that the emotional support required for people with dementia was difficult to provide for example should a resident wish to go outside of the home and require staff support this would be difficult to provide without putting other residents at risk. Information received from the random unannounced inspection had identified that there had been periods of staff shortages and difficulties in recruiting new staff for the home and the manager had made steps to improve the staffing level with the introduction of an extra ‘floating’ member of staff at the peak times of the day. Two staff recruitment files were looked at and both demonstrated that thorough recruitment process are in place, appropriate references obtained and checks carried out with The Protection of Vulnerable Adults register (POVA 1st) and Criminal Records Bureau (CRB) before appointment. New staff attend an induction programme that is provided by a trainer employed by Shaw Healthcare on taking up employment that covers training in Moving and Handling, health and safety, fire safety, food hygiene and first aid. The annual training plan was seen that included training on dementia care and mental health that demonstrated that the training provided at the home is appropriate to meet the needs of the people living at the home. Beech Close Care Home DS0000060165.V347935.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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31,33,35 & 38 Quality in this outcome area is good. Within the constraints of the staffing levels the home strives to provide person centred care This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager had been absent from the home for a considerable length of time and in the interim period a manger from within Shaw Healthcare has been overseeing the management of the home. This manager has the necessary skills and experience to effectively manage the home and has attempted to improve the staffing levels with the introduction of an extra ‘floating’ member of staff at the peak times of the day. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 22 Observations during the visit indicated that the residents are treated with respect and that the staff do all that they can to respond to residents physical and emotional needs. There are a number of quality assurance systems in place in the home to include audits on the health and safety systems within the home. Regular residents meetings take place and minutes are posted on the resident’s notice board, in addition quality assurance questionnaires are given to residents and families to gain feedback on how the home can improve on the service provided. Resident’s financial interests are safeguarded small amount of spending money are held at the home for resident’s personal use, all transactions are recorded and receipts obtained for audit purposes. In general the evidence within the care plans indicated that the residents physical, social and emotional needs are identified and the supported and that the care plans are regularly reviewed. Risk assessments were in place, which balance the resident’s rights to take risks as part of leading a normal lifestyle. Early intervention in responding to changes in the resident’s physical and mental health and prompt action in accessing the appropriate healthcare professionals to provide treatment should result in a pro active approach to monitoring the effects of medication and avoid residents from experiencing undue distress due to any side effects. Beech Close Care Home DS0000060165.V347935.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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X 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 2 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 Beech Close Care Home DS0000060165.V347935.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. 1 Standard OP9 Regulation 13 (2) Requirement The condition of residents who have changes made to their medications must be closely monitored and the GP must be consulted where there is any detrimental change in the resident’s health that may be due to the change, to prompt a full review of the prescribed medication. Timescale for action 31/10/07 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 OP27 Good Practice Recommendations Staffing should be deployed in sufficient numbers and skill mix to meet the assessed needs of the people living at the home taking into consideration the layout and purpose of the home. Beech Close Care Home DS0000060165.V347935.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 0845 015 2255 or 0191 233 3588 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 Beech Close Care Home DS0000060165.V347935.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!