Inspection on 11/01/06 for Beech Dene Residential Care Home

This inspection was carried out on 11th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beech Dene Residential Care Home 30/01/08

Beech Dene Residential Care Home 29/11/06

Beech Dene Residential Care Home 28/09/05

Beech Dene Residential Care Home 24/02/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Beech Dene Residential Care Home Westwood Road Leek Staffordshire ST13 8DL Lead Inspector Lynne Gammon Unannounced Inspection 11th January 2006 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 Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 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 Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beech Dene Residential Care Home Address Westwood Road Leek Staffordshire ST13 8DL 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) 01538 388087 01538 384046 Beechdene@oldfieldcare.co.uk Mr Simon Badland Mr Anastasis Kayiatou Joanne Boyle Care Home 31 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (31), of places Physical disability over 65 years of age (3) Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 8 DE (E) - 1 of whom may be 60 on admission Date of last inspection 28th September 2005 Brief Description of the Service: Beech Dene is a large, detached property set in mature gardens, in close proximity to the market town of Leek. The extended part of the home is two storeys but the original building has three floors and a large basement, which is used as the laundry room. Currently, there are plans to utilise what was formerly the managers flat to create an extra six single en-suite bedrooms, subject to CSCI approval. The home is registered for 31 but in an effort to remove shared bedrooms, the home provides for a maximum of 29. Care needs vary, ranging from dementia care to residents who experience physical incapacities including, visual and hearing impairment. There are currently 19 single bedrooms, 10 with en-suite. The home has four bathrooms, one of which is equipped with a Parker bath. The home has a spacious, well equipped dining room and three main lounges/ conservatories. In addition, there is also a designated smoking room. There are a further two quieter lounges which provide an opportunity for complete privacy when receiving visitors or visiting professionals. There is a large, well-kept garden to the rear of the property that can be safely accessed and has adequate seating. In fine weather many residents prefer sitting at the front of Beech Dene as they can observe passersby and this involves them in the daily activities of the local community. The front of the property is safe and secure, provides adequate parking space, and is monitored with CCTV cameras. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was made on the 11th December 2005 at 9.30 am. The inspection was carried out by one inspector who used the National Minimum Standards for Older People as the basis for the inspection. The total time spent for the inspection, including pre and fieldwork, amounted to 6 hours. The inspection included a part tour of the building, inspection of records, observation, and discussions with service users, registered provider and staff. What the service does well: What has improved since the last inspection? What they could do better: No requirements were raised as a result of this inspection. Two minor recommendations were raised as follows: for a ‘resuscitation consent’ form to be developed to ensure clarity about service user/family needs if an incident occurred requiring resuscitation and for staff supervision to be formalised to include career development needs. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 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 Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 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, 2 and 4. Potential service users received detailed information about the home to enable an informed choice to be made about the suitability of the home for them. Each service user had a contract with the home and they were assured that the home could meet their assessed needs before moving into the home. No intermediate care took place in the home and therefore, standard 6 did not apply. EVIDENCE: The inspector examined the home’s Statement of Purpose and Service User Guide which was updated in January 2005. Each was contained within a glossy, attractive, and professional looking folder. The Statement of Purpose and Service User Guide contained all of the required elements to provide service users with a clear understanding of the service provided at Beech Dene Residential Home. The Statement of Purpose included: the philosophy of care, the facilities to be provided, number of rooms and details of communal areas, the complaints procedure, a comments/complaints feedback form, fee structure etc. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 9 The Service User Guide included: details regarding the provider and manager, qualifications of staff, age range accepted, location, religious needs, visiting, entertainment, assessment details, sample menus, a list of policy and procedures used within the home, examples of thank you messages etc. A service user’s terms and conditions of residency was also inspected and included details of: confidentiality, medication, smoking, personal safety, personal effects, trial periods, termination and payments, the complaints procedure, fees and the scope of the fees, those items/services not included in the fees, privacy and dignity, fire procedure, etc. Service users also received confirmation that their needs could be met prior to moving into the home. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 11. Care planning processes within the home were clear and consistent to adequately provide staff with the information they needed to meet service user’s needs satisfactorily. Health care needs were met very well and service user’s needs at the time of their death were treated with dignity and respect. EVIDENCE: Service user care plans were examined and found to provide detailed information about all aspects of health, personal and social care needs. Each care plan was reviewed monthly and risk assessments were completed and also reviewed monthly. The daily report was completed and, in conjunction with the key workers notes, provided an up-to-date picture of the current status of the individual service user. Access to other health care professionals was recorded and evidenced that service users heath care needs were met well. The registered care manager and the home co-ordinator confirmed that the development of a resuscitation policy had been discussed and the inspector recommended that a resuscitation consent form be developed to be clear about service user/family needs if an incident occurred requiring resuscitation. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15. All key standards were examined at the last inspection on 28th September 2005 and were met well. EVIDENCE: Observation and discussion with service users confirmed that a range of activities remained in place for them at the home, including a recent pantomime being held in the home and a regular film afternoon with popcorn and refreshments. Service users were seen to make their own choices and decisions about their day-to-day lives and were able to have alternatives to the daily menu if required which provided a selection of nutritious and balanced meals each day. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 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, 17 and 18. A robust complaints procedure was in place and service users were listened to with their views taken into account. Service user’s legal rights were protected and the homes’ Adult Protection procedure and staff training ensured they were protected from abuse. EVIDENCE: Neither the home nor the Commission had received any complaints since the last inspection. The registered manager confirmed that service users were enabled to exercise their legal rights directly and were supported by staff to participate in the electoral process if they so wished. No allegations of abuse had been received and staff training in abuse awareness contributed to the protection of service users. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 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): 21, 23 and 25. Sufficient toilets and bathing facilities were in place for the service users and the layout and size of rooms were satisfactory to suit the needs of the service users. Service users lived in safe, well-maintained surroundings. EVIDENCE: The home was immaculately maintained both externally and internally, and safe and accessible for the benefit of the service users. Room dimensions and layout ensured flexibility of access for carers and any equipment required. Toilets and bathrooms were appropriate and sufficient to meet the needs of the service users. Further redecorating had taken place in the home since the last inspection, including the previous smoke room which had also had new chairs, and the ‘new’ smoke room had a fan and occupancy detector installed. External woodwork around the windows had been repainted and the kitchen had been updated; recommendations from the annual environmental health inspection had been put in place. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 14 In addition to this, 2 new DVD players, a television and a stereo had been purchased and it was evident that every effort was made to make the whole environment as pleasant, warm, comfortable and homely as possible for the benefit of the service users. The home was very clean throughout and service users lived in safe and comfortable surroundings where rooms contained covered radiators, smoke alarms and emergency lighting. New door guards had been purchased and put on the fire doors and all corridors were free from clutter to enable safe access for both service users and staff. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 15 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): 30. All of the other key standards were examined at the previous inspection and found to be satisfactory. Staff were trained and competent to carry out their roles and responsibilities. EVIDENCE: The inspector examined the records of the type and frequency of training undertaken by the staff within the home. Training records included the following: Manual Handling 12/4/05, Fire Safety 20/5/05, Health and Safety 11/2/05, First Aid 9/12/05, COSHH 11/2/05, Infection Control 11/2/05, Medication 12/12/04 plus a range of other training such as Abuse Awareness, Dementia, Basic Food Hygiene, Diabetic training etc. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 16 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, 34, 35, 36, 37 and 38. The registered care manager was fit to be in charge, responsible and of good character. Financial procedures were robust to protect service user’s financial interests. Staff were appropriately supervised and the health, safety and welfare of service users and staff were upheld and protected. EVIDENCE: The registered care manager had been involved with the home since 1986. At one time she was part owner and later became the registered care manager in 2001 for the current providers. She confirmed that she was in the process of undertaking NVQ Level 4 in Care and the Registered Manager’s Award. She had already achieved the City and Guilds D32 and D33 Assessor’s Award and City and Guilds Level 2 in Care. She was also qualified to train staff in Manual Handling and was a First Aid representative for the home. She was very experienced in managing her responsibilities and staff to meet the needs of the service users in the home and service users benefited from her open, inclusive approach. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 17 Records of service user’s finances were examined and found to balance with monies held. Receipts were seen for every financial transaction undertaken in the home and when responsibility for valuables transferred from service user or relative to the home and vice versa. Staff supervision sheets were inspected and it was clear that significant efforts had been made to implement an informal system. Records showed that a range of supervision sessions had taken place to improve staff knowledge of specific tasks and the inspector discussed the need to make these sessions more formalised and to include career development needs. Records for the protection of service users, individual records and home records were seen to be secure, up to date and in good order. Policy and procedural documentation was inspected and the inspector noted that these are regularly reviewed as issues arise at manager’s meetings. The inspector examined a range of records and documentation, which evidenced that the health, safety and welfare of service users and staff were protected. Fire safety records showed that the fire detection system was checked on 25/08/05. Other records included: emergency lighting check on 25/08/05, gas safety check on 20/09/05, lifts serviced on 30/11/05, Parker bath serviced on 07/10/05, the electrical installation inspection was undertaken on 13/04/05, appliance testing pass certificate on 16/12/05, nurse call system checked and tested 25/08/05 and a water test for Legionella was carried out on 20/04/05. All above were found to be correct and in good order. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 X X 3 X 3 X 4 X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X 3 3 3 3 3 Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP11 OP36 Good Practice Recommendations For a ‘resuscitation consent’ form to be developed to ensure clarity about service user/family needs if an incident occurred requiring resuscitation. To formalise the staff supervision sessions to include career development needs. Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Beech Dene Residential Care Home DS0000059648.V278367.R01.S.doc Version 5.1 Page 21 - 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. 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