Inspection on 10/01/06 for Beech House

This inspection was carried out on 10th 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 House 14/08/09

Beech House 03/02/09

Beech House 18/08/08

Beech House 20/02/08

Beech House 20/09/07

Beech House 07/06/07

Beech House 25/09/06

Beech House 05/07/05

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Beech House Wollerton Market Drayton Shropshire TF9 3DB Lead Inspector Mike Highfield Unannounced Inspection 10th January 2006 10:30 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 House DS0000064947.V274228.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 House DS0000064947.V274228.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beech House Address Wollerton Market Drayton Shropshire TF9 3DB 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) 01630685813 01630685905 Ash Paddock Homes Limited Care Home 54 Category(ies) of Dementia - over 65 years of age (8), Old age, registration, with number not falling within any other category (46) of places Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home must comply with the Staffing Notice as issued by Shropshire Health Authority dated 23/08/95. The maximum number of Service User`s must not exceed 54 Older People who require Nursing Care. This number may include a maximum of 8 Service User`s who suffer from Dementia. 5th July 2005 Date of last inspection Brief Description of the Service: Beech House is a large country house in the village of Wollerton near Market Drayton. It is set in its own grounds, which are well maintained, colourful and have all round views of the surrounding countryside. Beech House is owned by Spring Care Ltd, the Managing Director being Mr Lee Cox, the Area Manager is Helen Whitehouse, the Registered Managers Post remains vacant at the time of the inspection. The home is registered for a maximum of 54 older people who need both nursing and residential care. The home offers a mix of single and double accommodation and the service users are encouraged to bring personal items into their rooms. The Hodnet medical practice provides medical cover for the home. The home has an activities co-ordinator and external entertainers are frequent visitors. Visitors are made welcome into the home and the staff extend the same courtesy to them as to the service users. This inspection was undertaken by Michael Highfield, Inspector for the Commission for Social Care on 10th January 2006. Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of two hours it was unannounced and formed part of the two routine inspections per year undertaken by the Commission for Social Care Inspection. During the inspection a tour of the premises took place, and discussions with management. The staffing establishment in the home indicated that the home continues to have the capacity to meet the needs of current users of the service in a commendable manner. What the service does well: What has improved since the last inspection? There have been some developments since the last inspection which took place in July 2005 by the “new” owners. 1. Redecoration in the home, and some refurbishment. 2. Continued training of Care Staff to NVQ Level 2 to meet the national minimum standard. Three staff are also undertaking NVQ Level 3 at the time of the inspection. 3.Since the last inspection a large patio area has been built in the walled garden area with ramp access for wheel chairs, this has been well used by the residents in the later half of 2005. Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beech House DS0000064947.V274228.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 House DS0000064947.V274228.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 to 5 The homes statement of how they operate and the Residents User Guide provide the present and prospective residents with very detailed information which would assist them in making a decision to move into the home or not. EVIDENCE: There is a well laid out Service Users Guide which makes it clear to residents, and their relatives, the homes philosophy of care, facilities and services offered, admissions criteria, visiting policy, who the care team are, how they are dressed and what their respective roles are the contents of this have not changed since the last inspection. The Homes Policies and Procedures are clearly outlined. Residents are only admitted to the home following a care needs assessment by the Manager, or senior member of staff. Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 9 At the time of the inspection the number and skill mix of the staff on duty and their deployment appeared to be meeting the required needs of the residents. Beech House DS0000064947.V274228.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): 8,10 and 11 The health needs of the residents were well met. EVIDENCE: An initial care plan, based on the preadmission assessment, is drawn up on the day of admission for each resident. Care Plans are to be changed in the home in the near future, to a standard pre-printed care plan developed by the registered provider Spring Care. Beech House DS0000064947.V274228.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 to 15 Systems for residents consultation are in place, being in both verbal and written form. Residents are involved in the daily routines and social activities in the home, Routines are flexible and the home has good links with the local community. EVIDENCE: The home employs an Activities Co-ordinator who leads the planning of outings and activities, in the near future residents are going to the Pantomime in the near by town of Ellesmere. There was evidence seen in the residents rooms that they are encouraged to bring personal possessions into the home, and they are able to entertain visitors when and where they wish. The food menu for the residents showed a good range of “traditional meals” . On admission to the home the Catering Manager has access to the assessment reports so that dislikes in foods can be recorded and she is able to meet the residents needs. Beech House DS0000064947.V274228.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 to 18 The home has an effective complaints procedure, and there is evidence that residents feel that their views are listened to and acted upon. EVIDENCE: The Homes Complaints Procedure was displayed throughout the home, and the residents and their families are encouraged to make suggestions at any time to improve their quality of life in the home. Residents and family meetings are held on a regular basis. There is an Adult Protection Policy and Procedure in place, with which staff are fully conversant. At present there is no registered manager in the home which is a requirement of registration, this however has not had any adverse effect on the residents care. Beech House DS0000064947.V274228.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): 19 to 26 The standard of the environment is good providing residents with a safe home to live in. There is a documented refurbishment programme in place. The standard of cleanliness in the home at the time of the inspection indicated that the home has a dedicated team of staff who have the good name of the home uppermost in their standards. EVIDENCE: The layout, function and general décor in the home is unchanged since previous inspection and meets the requirements of the standards. The décor in the corridors and some rooms has been renewed. The provision of toilet, washing and bathing facilities was found to be well planned and maintained. All parts of the building are accessible, the upper floor via a shaft lift. All bedrooms are comfortable, furnished and equipped to a high standard they are all personalised with the residents own possessions. Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 14 The home on the day of the inspection was found to be very clean and tidy. There is a “new” patio area with wheel chair access to the lawns in the walled garden, this was well used by the residents in the later part of the summer of 2005. Beech House DS0000064947.V274228.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): 27 to 30 There is a stable staffing group in the home who were working positively and enthusiastically to provide the residents with a quality of life that meets their individual requirements and aspirations. EVIDENCE: At the time of the inspection Pat Amos the Manager was on duty and Helen McClenaghan the Registered Manager designate. There is an on-going staff-training programme, which addresses relevant training needs on a comprehensive front, including NVQ, Fire, Moving and Handling, Food Hygiene, Wound Care, COSHH, Nutrition and Needs Assessment. This training is organised internally within the Spring Care group of homes. It was identified at the last inspection by the Management Team that recruitment to increase Registered Mental Illness Trained Nurses into the group when the next vacancy occurs would be beneficial to support the home in its care of Elderly Mentally Ill residents, this matter has yet to be achieved. Beech House DS0000064947.V274228.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 to 38 The home is managed by a competent team of senior staff who work in the best interests of the residents, and protect their health, safety, and welfare at all times. EVIDENCE: The home has had a change in ownership in the last eight months, as part of the team building process all staff are undergoing performance review and regular staff meetings are occurring. The “new” management team are meeting on a quarterly basis and reviews of the homes Care Procedures are undertaken at that time taking into account any changes in legislation. There are a range of approaches which contribute in developing a good quality service in the home being both verbal and in written form, and daily discussions with residents occurs. Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 17 There is a requirement of registration that the home have a registered manager in post, this matter has yet to be achieved by the “new” care provider. Beech House DS0000064947.V274228.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 3 4 4 N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 3 18 4 3 4 4 4 3 4 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 3 4 4 Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP 16 Regulation 8(1)(a) (b)(1) (111) Requirement Timescale for action 10/01/06 2. OP 31 8(1)(a) (b)(1) (111) That the Registered Provider shall have a Registered Care Manager in post to whom the Residents Families can raise their concerns if they should need to do so. That the Registered Provider 10/01/06 shall have a Registered Care Manager in post where there is no Registered Care Manager in post in respect of the Care Home. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beech House DS0000064947.V274228.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 House DS0000064947.V274228.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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