Inspection on 17/01/06 for Beech House Care Home

This inspection was carried out on 17th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Care Home 20/10/08

Beech House Care Home 18/10/07

Beech House Care Home 03/01/07

Beech House Care Home 12/09/05

Beech House Care Home 13/09/04

Beech House Care Home 12/08/04

Beech House Care Home 16/03/04

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 House Care Home 294 Carlton Road Worksop Nottingham S81 7LL Lead Inspector Elaine Cray Unannounced Inspection 17th January 2006 10:35 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 Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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 Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beech House Care Home Address 294 Carlton Road Worksop Nottingham S81 7LL 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) 01909 472149 01909 472149 Mr Moussa Durgahee Mrs Sabitree Durgahee Mrs Sabitree Durgahee Care Home 18 Category(ies) of Dementia (18), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (18), Old age, not falling within any other category (18) Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: Beech House is a large 3 storey adapted older house on the outskirts of Worksop, offering care to 18 older people. The home has well maintained grounds and there is car parking at the rear of the property. The 18 single bedrooms are located on the ground and first floor, with 9 rooms having en suite facilities. There is a passenger lift to give access to both floors. The home has 2 communal lounges, a dining room and conservatory. There are sufficient bathroom and toilet facilities to meet requirements. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on 17th January 2006 over a period of 4 hours. The manager and her husband, who is also an owner of the home, and staff provided information throughout the visit. Four residents and one relative were spoken with and all expressed a high level of satisfaction with the care provided in the home. A variety of records were inspected and a partial tour of the building was made. What the service does well: Beech House offers a well maintained environment. The manager and staff encourage residents to be as independent as possible and provide a relaxed, comfortable and homely environment for the residents. Residents are treated with a high level of dignity and respect and staff have an excellent understanding of the individual needs, preferences and personalities of each resident. There is a warm rapport between staff and residents. One service user said “it’s not just the accommodation and catering, the carers treat me with such dignity. I like to live in the past and the staff always have time to listen to me”. Residents presented as well groomed and they said they liked living at the home, commenting that the home is “top of the tree” and “tremendous – couldn’t ask for better”. A relative said that she had been fully involved in developing her relative’s care plan and the manager and staff fully involve her in her father’s care. Health care needs are well met and the staff at the home liaise well with health care and medical agencies. A relative spoke highly of the manager’s and staff’s commitment to promoting and maintaining the health needs of the residents. The manager and staff form a cohesive team, with good communication between themselves, with the residents and with other professionals. Staff have undertaken NVQ and dementia training. The manager has completed her NVQ4 in Management and is now working towards developing auditing and quality assurance systems for the home. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 6 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. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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 Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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): 2 and 5 Arrangements for providing information about the home, enabling prospective service users and their representatives to visit and providing opportunities to discuss the prospective service user’s needs are well managed. Some more detail needs to be added to the home’s Terms and Conditions document. EVIDENCE: A relative had accessed several homes’ inspection reports before selecting Beech House and was very pleased with the helpful and supportive way in which the admission to the home was carried out. Prospective service users and their relatives are encouraged to visit the home before deciding to live there and the last inspection report is displayed in the entrance hall to the home. The Terms and Conditions had been provided to residents, but the agreement forms lacked some information. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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 the following standard(s): 8, 9 and 10 The health care, medical needs and medication procedures are all well managed. There is a warm and interactive rapport in the home and residents are treated with respect and dignity. EVIDENCE: The manager provided a clear and detailed insight into the medical and health needs of the residents. Residents and relatives were very pleased with the health care and support provided by the home. A relative commented that the home communicates well about the health needs of her relative and involve her at all levels of care. The manager escorts all residents to all health and medical appointments in the community and at hospital. Observation of the arrangements for storing, administering and recording medication and discussion with the manager and staff demonstrated that medication procedures are well managed in the home. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 10 Residents are treated with a high level of dignity and respect and staff have an excellent understanding of the individual needs, preferences and personalities of each resident. There is a warm rapport between staff and residents. One service user said “it’s not just the accommodation and catering, the carers treat me with such dignity. I like to live in the past and the staff always have time to listen to me” . Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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): 13, 14 and 15 This home provides a warm and enabling environment, promoting the wishes, views, independence and choices of residents. Catering arrangements were well managed and provide residents with regular and a well balanced choice of meals in a pleasant and social environment. EVIDENCE: All residents spoken with on this visit said that they enjoy living at the home and felt that they could do as they please and choose how their daily routines happen. One resident still goes to the bank and likes to buy a lottery ticket. Other residents enjoy going for a walk and doing some shopping. There is a selection of lounges and seating areas and residents may choose to spend time privately in their rooms, sit chatting in the lounge or sit quietly in the conservatory which overlooks the garden. There is a range of activities available in the home. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 12 Relatives and friends are able to visit the home as often as they wish and the manager has a clear commitment to involving family and friends in the care of the residents. One resident visits a local day centre and other residents have been enabled to visit the local church. Residents are also encouraged to attend medical visits, for example to the dentist and optician, in the community. All residents said that the food was very good. The meal time was a relaxed and social time, staff served residents with respect and helped some residents to eat their meal in a sensitive and discreet way. The menus are varied, balanced and nutritional. There is a choice at each meal. Most meals are cooked from fresh produce and the cook provides home baking on a daily basis. The kitchen was well organised and clean. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 13 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 The manager and staff have a clear awareness of the need to provide a safe environment for residents. The procedures for the protection of residents from abuse are addressed in the home. Residents are confident that they are able to express any concerns to the manager and staff and that these matters will be addressed. The manager is committed to promoting the legal rights of residents. EVIDENCE: The manager presented a good understanding of the vulnerability of older people living at the home, the need for consistent observation and care and providing a safe environment. Staff have received adult protection training. The complaints procedure is displayed in the home. All residents and a relative spoken with on this inspection presented a clear confidence that they could discuss any concern with the manager and staff in the home. The manager maintains a complaints log and no complaints have been received since the last inspection. The manager has an excellent knowledge of the legal rights of residents and liaises with family, solicitors and social services in order to promote their needs and rights. All residents are on the electoral register. Some residents confirmed that the manager and staff help them to visit the local polling station, whilst other residents have postal votes arranged. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 14 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, 21, 24, 25 and 26 EVIDENCE: All lounges and the dining room were viewed and presented as clean, well decorated and very homely, with comfortable furnishings, lots of picture, ornaments, plants and flowers. New carpets have been fitted throughout the corridors. A number of bedrooms were viewed. Each bedroom presented its own individual style, dependent on the wishes and likes of the resident. All bedrooms were well furnished, safely maintained, well decorated and clean. Toilet and bathing facilities are sufficient and appropriately maintained. Standards of cleanliness were exceptional throughout the home. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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, 28, 29 and 30 The staffing arrangements in the home presented as well managed and staff have received a variety of training. EVIDENCE: Discussions with the manager, a relative and residents presented a clear view that the staffing arrangements in the home are well managed. Despite some staffing difficulties over a period of two months the home has maintained a consistent approach to staffing and has now recruited two qualified carers to work in the home. Some staff have, or are nearing, the completion of their NVQ training and staff training is managed well. A relative commented on that staff present as well trained and very committed in their jobs. All the residents spoken with on this visit gave positive comments about the staff and felt safe and well looked after, with staff encouraging them to be independent and providing support when needed and requested. Two staff files were checked and these demonstrated that the manager maintains a thorough recruitment and selection process including obtaining all the required background checks and ensuring staff are inducted at the beginning of their employment Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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, 32, 33, 34, 37 and 38 The management of the home was well organised, with staff feeling supported by the manager and records well maintained, accurate and up to date. EVIDENCE: The manager was present throughout this inspection and provided a thorough knowledge of the management and administration systems and the running of the home. The manager is a qualified nurse and has completed her NVQ Level 4 in Management. The manager is keen to promote the development of herself, the staff and the overall managing of the home and clearly places the residents as the centre focus in the running of the home. The home is currently working towards its Investors in People award. The manager is currently doing a Personal Development Practice course, which entails reviewing all the policies, Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 17 procedures, care practices and management systems in the home. These developments will further enhance the manager’s quality assurance process and the questionnaire process which is carried out with residents and visitors to the home. The manager stores and manages the spending money of some residents and individual records and receipts are maintained. These accounts presented as well managed, but the manager has been recommended to provide two signatures for each transaction. The health and safety procedures, checks are servicing agreements are well managed in the home. The next fire drill in the home should have been carried out the previous month to this inspection and an immediate requirement was left for the drill to be carried as soon as possible. All other fire safety checks had been regularly completed. Record keeping in the home was detailed, accurate and generally up to date. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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 X 2 X X 4 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 X 3 X X 3 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 3 4 3 x 2 X 3 2 Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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. 2. Standard OP2 OP38 Regulation 5 23.4 Requirement Provide more detail in the Term and Conditions provided to residents Carry out fire drills at the required intervals. Timescale for action 01/03/06 24/01/06 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 OP35 Good Practice Recommendations Provide two signatures for each transaction relating to residents’ finances. Beech House Care Home DS0000008630.V272719.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Care Home DS0000008630.V272719.R01.S.doc Version 5.0 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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