Inspection on 22/06/05 for Beech House

This inspection was carried out on 22nd June 2005.

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

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

Other inspections for this house

Beech House 15/10/08

Beech House 06/12/07

Beech House 07/08/07

Beech House 30/10/06

Beech House 30/01/06

Beech House 27/09/04

Beech House 02/08/04

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

CARE HOMES FOR OLDER PEOPLE Beech House 29 Great Bowden Road Market Harborough Leicestershire LE16 7DE Lead Inspector Rajshree Mistry Unannounced 22 June 2005 @ 11.00am nd 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 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 D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beech House Address 29 Great Bowden Road Market Harborough Leicestershire LE16 7DE 01858 464289 None None Mr Keith Burrows Telephone number Fax number Email 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 Lesley Burrows Care Home 13 Category(ies) of OP Old Age (13) registration, with number DE(E) Dementia - Over 65 (5) of places MD(E) Mental Disorder - Over 65 (5) Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within categories Dementia DE(E) and Mental Disorder MD(E) may be admitted into the home when there are 5 persons of categories or combined categories of DE(E) and MD(E) already accommodated within the home. Date of last inspection 27th September 2004 Brief Description of the Service: Beech House is a residential home, which is registered to accommodate up to thirteen older people, including five within the category of mental disorder and dementia. Beech House is situtated in a residential area, close to the Market Harborough town centre. The home is accessible by car or public transport. Parking is available to the front of the home. The home provides a large lounge to the front of the property and a dining room to the rear. There is a patio area to the rear of the home, which is accessible to residents using wheelchairs and walking aids. Bedrooms are located on the ground and first floor that is accessible by the stair lift or the passenger lift. Bath/shower and toilet facilities are located close the bedrooms. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 11am on 22nd June 2005 and lasted for 2.5 hours. The method of inspection consisted of examining the pre-inspection questionnaire, a tour of the home, communal areas, three residents’ rooms and examination of the health and safety records for the home. Three residents were spoken with and observed, specifically to look at their lifestyle at the home and how their care needs were met. Individual plans of care and relevant care records were examined. Comments received from residents were all very positive. Staff on duty were observed providing the care and responding to the needs of the residents. Residents were observed engaging with the staff and going about their daily activities and routines. Towards the latter part of the inspection visit, time was spent with the Registered Manager discussing some of the findings, information received and observations made. What the service does well: What has improved since the last inspection? The requirements and recommendations made at the last inspection have all been met. The Beech House has had new double glazed windows installed on the ground and first floor and continuing external and internal painting and decorating. A new carer has been employed since the last inspection. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 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 D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 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 standard(s) 1, 3, and 5 The admission process is well managed and robust and meets the needs of residents. EVIDENCE: The statement of purpose and the service user guide is reviewed annually and updated as required. The information is clear and made available to the prospective residents and their family at the first meeting or opportunity. The admission procedure is good. Evidence of the assessment undertaken by the home’s manager in addition to the assessment received from a social worker was available on the three residents files examined. The files also contained information detailing their preferred choice of lifestyle, risks identified and how to maintain and promote independence safely. The home encourages residents’ and their relatives to visit. A trial period of stay is offered to all prospective residents and to discuss how individual care needs can be met. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 Residents’ health and social care needs are met. Care provided is personalised. Management of medication in the home is robust and secure. EVIDENCE: All files tracked contained comprehensive care plans that had been generated using information from the assessments. All plans were specific to the individual and covered areas such as pain relief, continence, visual impairment and mobility. All care plans contained evidence of reviews of care plans being undertaken regularly in consultation with the residents and recorded. All residents’ health needs are recorded in their files. Any specific areas are included in the care plan. Appointments with GPs and any other health care professionals are recorded along with any advice or treatments. Residents who spoke with the Inspector stated that their health needs are met. Medication is stored in a locked medication trolley. Staff are trained to administer medication. Receipt, storage, administration of medication, returns and recording was seen and is considered to be accurate. A management system for administering controlled medication is in place although no controlled medication is in use at present. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Residents are provided with activities to meet their needs. All residents are able to maintain contact with families and friends. The food is healthy and nutritious and is served in pleasant surroundings. EVIDENCE: Residents care plans indicate social and leisure interest and links with family and friends. On the day of the inspection there were no planned activities, although staff would offer activities daily. Daily newspapers are delivered for some residents. Two residents that were sat out in the garden to the rear who spoke with the Inspector said they “preferred to sit out in the garden and chat, especially on a hot day”. One resident who was 97years of age enjoyed the company of another resident, talking about her life, family and was looking forward to her family visiting. Other residents that spoke to the Inspector stated that they “preferred the quiet life”. Residents can access the local church and can have Holy Communion at the home. Residents indicated that their visitors are welcome at any time within reason. Meals are varied and nutritionally balanced. Residents spoken with indicated that they “preferred to have a surprise meal as meals are very good”. On the day of the inspection lunch was gammon, creamed potatoes and green beans with a chocolate éclairs or profiteroles and cream. Lunch is the main meal and is served in the dining room. Residents spoken with were satisfied with the Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 11 choice of meals and stated, meals are offered to their visiting relatives. Drinks and snacks are available throughout the day. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 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 standard(s) 16 The complaints policy and procedure is robust, clear and accessible to all. EVIDENCE: The home’s complaints procedure is displayed on the notice board in the main reception and included in the service user guide, which is given to all residents. Residents spoken with were aware of whom to contact and speak with should they have any concerns. Residents indicated that they were confident that their complaints would be addressed and comments received included “we have no complaints”; “I wouldn’t suffer in silence”, and “you could not find a better home”. A summary of complaints log is maintained was viewed by the Inspector and found accessible and current. The contact details for the Regulating Authority on the complaints documentation was incorrect and brought to the attention of the Registered Manager. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 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 standard(s) 19, 20, 21, 22, 24, and 26 The home offers a safe, well-maintained environment that meets residents’ needs. EVIDENCE: A tour of the premises found all areas to be clean. There are handrails throughout the home, a stair lift and a passenger lift located to the centre of the home. The home is well maintained and suited to the needs of the residents. All communal areas and bedrooms are decorated and furnished to a standard that creates a comfortable and homely environment. Bedrooms are personalised and decorated with residents’ own personal possessions such as pictures and small items of furniture to creating a homely room. Residents spoken with indicated that they felt safe and comfortable at the home. Residents are able to move freely around the home. Entry to the home and the private garden is level entry. Bathrooms and toilet facilities are located near to all the bedrooms. The home has specialist equipment such as the bath hoist and equipment to promote independence and self care. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Trained staff are adequately deployed to meet the needs and protect the residents. EVIDENCE: The staff rota is in place, and this was accurate with the staff on duty at the time of the inspection visit. The home has a stable team of staff and does not use agency staff. On the day of the inspection a new member of staff was on her third day of her inducting training. The residents that spoke with the Inspector indicated that all the staff are very good, kind, attentive and felt safe in their hands, at all times. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 38 The residents’ finances are safeguarded with clear a policy. The health, safety and welfare of residents and staff are well promoted and protected. EVIDENCE: Residents manage their own finances with the support of their family or solicitor. Residents have access to lockable facilities in their rooms and can have a key to their room. The homes’ policy is that staff do not manage or take responsibility to support residents to manage their finances. Health and safety is clearly important within the home. The fire risk assessments were available and had been reviewed, along with individual risk assessments for residents for moving and handling. During the tour of the home fire exits were clearly marked and were not obstructed. Records of routine testing of fire safety equipment, lighting, water temperature and specialist equipment such as the hoists and electrical equipment subject to portable appliance testing, were in good order and health and safety issues were well documented. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x 3 Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 17 NO 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 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. Refer to Standard OP16 Good Practice Recommendations The Registered Provider should ensure that the correct contact details for the Commission for Social Care Inspection are displayed on documentation. Beech House D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 1st Floor, Newland House Campbell Square Northampton NN1 3EB 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 D. C51 C08 S1806 Beech House V234762 220605.Stage 4.doc Version 1.30 Page 19 - 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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