Inspection on 20/10/08 for Beech House Care Home

This inspection was carried out on 20th October 2008.

CSCI found this care home to be providing an Good service.

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 18/10/07

Beech House Care Home 03/01/07

Beech House Care Home 17/01/06

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 06/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beech House Care Home 294 Carlton Road Worksop Nottingham S81 7LL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Angela Starr     Date: 2 0 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 29 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Beech House Care Home 294 Carlton Road Worksop Nottingham S81 7LL 01909472149 Telephone number: Fax number: Email address: Provider web address: mdurgahee@hotmail.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Sabitree Durgahee Type of registration: Number of places registered: Mr Moussa Durgahee,Mrs Sabitree Durgahee care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Beech House is a large 3 storey adapted older house on the outskirts of Worksop, offering personal 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. The owners have started work to extend the home and this will provide 13 additional bedrooms, a large lounge, a small kitchen for relatives, people living at Care Homes for Older People Page 4 of 29 Over 65 0 18 18 18 0 0 Brief description of the care home the home and staff to use. A further room will be available to be used as required. There will be a new laundry, linen store and a medical room for the safe storage of medicines, where visiting Doctors can see people. There will also be a new office. At the time of the inspection the manager confirmed that the weekly fees ranged from 316.00 pounds - 348.00 pounds depending on the persons assessed needs. Additional charges are made for services such as chiropody, toiletries, extra continence aids and hairdressing. However, information about these costs, was not stated in the Service User Guide. A copy of the last inspection report is available at the home. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. We have introduced a new way of working with owners and managers. We ask them to fill in a questionnaire about how well their service provides for the needs of the people who live there and how they can and intend to improve their service. We received this back from the manager and we used it to help us to plan our visit and to decide what areas to look at. The form was generally well completed. Care Homes for Older People Page 6 of 29 We also reviewed all of the information we have received about the home since we last visited and we considered this in planning the visit and deciding what areas to look at. We sent out questionnaires to some of the people who live at the service and some to relatives and staff members. A high percentage of these were returned and all said they are happy with the service provided at Beech House. Comments included I should have brought my relative here three years ago when she first needed care, and They provide my mum with lots of love, care and attention. Because of this she is extremely contented and my weekly visits to see her are a sheer pleasure. The main method of inspection we use is called case tracking which involves us choosing three people who live at the service and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. We spoke to two members of staff and three people living at Beech House, to form an opinion about the quality of the service being provided to the people who live at the home. We read documents as part of this visit and medication was inspected to form an opinion about the health and safety of residents at the home. What the care home does well: People living at Beech House find the lifestyle they experience, matches their expectations and preferences. They exercise choice and control over their lives and they receive a wholesome and balanced diet in pleasant surroundings. People who live at the service and their relatives are confident that any complaints or concerns will be listened to, taken seriously and acted upon. The management and staff ensure people are safeguarded from harm. Peoples financial interests are safeguarded. People are consulted about the running of the home and their views are taken into account when any decisions are being made that may affect them. Quality Assurance Systems are in place to record and capture these views. Health & safety is promoted for people living at the home and for staff. Sufficient staff are on duty at any one time, and they are trained to meet the needs of the people they care for. Recruitment policies and practices are robust and ensure that people are protected from abuse and harm. Beech House offers the people who live there a clean and generally well-maintained environment. The atmosphere in the home is welcoming and homely, however, some areas are in need of re-decoration. The care plans are thorough and provide a lot of information about what people do and dont like, about their routines and their families. This told us that the staff promote choice about how people live their lives and treat people with dignity and respect. We found that peoples health care needs are well met at the home and other Health professionals are involved when needed. People told us that they feel their health is well looked after. We found that peoples religious and cultural needs are met at the home and the activities provided for people are varied according to need, choice and ability. Some people we spoke with said they enjoy their own company and this is respected. Family and friends are welcomed into the home, and told us they are pleased with the care being provided. The accommodation is homely, clean and comfortable with some rooms having en suite facilities and the home is well maintained. The people we spoke with know they can complain and how to do this, they feel their concerns are acted upon. This was echoed by the relatives that we spoke with. The comments made to us by people living at Beech House told us they feel the staff are very good, they know what they are doing and are very caring. We looked at records which told us that the training is up to date and relevant to the needs of the people who live at the home. The recruitment policies and procedures are robust, therefore protecting people from Care Homes for Older People Page 8 of 29 potential abuse and providing a safe place for them to live. The arrangements for handling peoples money are safe, records are clear and accurate meaning their financial interests are properly protected. What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who wish to live at the home have their needs fully assessed to ensure that their needs can be met. People are given accurate and up to date information about the services available at the home. Evidence: The manager told us in her Annual Quality Assurance Assessment that Prospective service users are assessed in their current setting and The statement of purpose and service user guide are updated annually. She showed us these documents and a copy was on display in the entrance hall for anyone visiting the home to see. The Statement of Purpose and Service User Guide are comprehensive and informative. They contain information about the accomodation and the support that is available to Care Homes for Older People Page 11 of 29 Evidence: people living at the home and are detailed enough to help people make an informed choice. They contain information about additional services that may be required such as IMCA (Independent Mental Capacity Advocate), Welfare Rights Services, hospitals etc. During our partial tour of the home, we saw copies of these documents in all the bedrooms. We also saw that the previous Inspection Report was on display and information within the Service User Guide tells people how to obtain a copy. The manager stated in the Annual Quality Assurance Assessment We provide full information to relatives so that they are able to make an informed decision. People we spoke with told us that they either already knew of the service or that they looked around and chose to live at the home. One person told us, I was given full information about the service. and another said, I would not have gone anywhere else. A relative we spoke with said I should have brought my relative here three years ago when she first needed care. I had heard and could see that this home was excellent for my relative. People we spoke with who live at the service told us I was admitted in an emergency but full information was given to me on arrival. I researched all local available provision and this was by far my first preference. The questionnaires that we received back from people, all said that they had been given good information about the home. We looked at the care plan of the person who was most recently admitted to the service and found that there was a comprehensive assessment of their needs in place and a full care plan. The social workers assessment is incorporated into the care plan and people living at the home, and their relatives, are informed that the first four weeks is a trial period during which people are able to make the choice whether to stay. A review is held and recorded in each persons care file after the first four weeks, involving the person, their relatives, social worker (if involved) and staff at Beech House. The Annual Quality Assurance Assessment states, We always work very closely with relatives to ensure appropriate delivery of care for the resident. Care Homes for Older People Page 12 of 29 Care Homes for Older People Page 13 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Personal and healthcare needs are assessed and provided for in a way which shows respect for the privacy and dignity of people who live at the service. Evidence: The manager told us in her Annual Quality Assurance Assessment that they have a comprehensive care planning system in place and monthly reviews occur. Care plans are up-dated to reflect changing need. The pre-admission assessment is used as a basis for the care that is delivered. The files that we looked at all contained preadmission assessments as well as current and up to date care plans. We looked at the care plans for three people who live at the home, including the last person to be admitted. These were thorough and were developed in consultation with the person and their relative enabling the delivery of consistent and reliable person centred care. We found the healthcare needs of people living at the service are being assessed and Care Homes for Older People Page 14 of 29 Evidence: there is clear evidence in the records that they are referred for specialist advice and treatment as needed. We asked a visitor What happens if your relative is unwell? How do they see a Doctor? The reply was Doctors visit frequently. There is good medical support. We asked what happens if a person has a hospital appointment and were told I choose to go but if I couldnt, staff would go. People told us that the staff treat them with respect, The staff are lovely. If I want to be alone I can, if I want privacy thats ok. The staff are nice to me, if they werent Id tell the boss. We observed staff knocking on peoples doors before entering and speaking with people in a respectful manner. A relative we spoke with told us they have never seen any of the staff be impatient or unkind, The staff are nice with the residents, they talk to them a lot. A person said in their survey, All my needs are met to a very high standard. A questionnaire returned from a member of staff said, The staff in the home give good care and support to the residents. We spoke with staff and they demonstrated a good understanding of the principles of respect and dignity. They told us, I have never seen anyone behave in a negative way towards residents. We looked at storage arrangements for medication and medication records. We found thye records to be well maintained and the storage appropriate. Staff we spoke with who administer medication told us that they feel confident to undertake this task and have had training. The Annual Quality Assurance Assessment tells us that We promote self administration of medication, therefore allowing an able service user to become more independent with their medication. This is reflected in the Service User Guide, although none of the people we spoke with look after their own medication. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have a flexible lifestyle which is in accordance with their needs, ability and preferences. Evidence: The provider told us in her Annual Quality Assurance Assessment that activities are provided in line with the abilities and preferences of people living at the service. The staff we spoke with told us they take people out whenever possible and the manager often takes people with her to the local supermarket. There has been a vacancy for an activities co-ordinator and staff have been providing a limited amount of organsied activities. These have included games, videos, and some one to one time with people. The questionnaires sent to people living at the home asked Are there activities arranged by the home that you can take part in? Eight were returned, four of which said usually, and two said always. The remaining two commented I do not wish to join in as I am a private person who prefers my own company and this is respected. and There are no activities at present. A comment from a relative states My wife is Care Homes for Older People Page 16 of 29 Evidence: blind and has dementia. They do their best and I help. One relatives spoken with said they are welcomed into the home, I phone or visit every day unless I am out of the country. another told us, They provide my mum with lots of love, care and attention. Because of this she is extremely contented and my weekly visits to see her are a sheer pleasure. The staff also confirmed that relatives are welcome to come to the home whenever they wish and are encouraged to ask any questions and to become involved in any activities. One relative told us that he plays word games with his relative and others join in. We throw a soft ball and as a person catches it they shout out a word. The next person to catch the ball shouts another word relating to the first one. e.g. Items of clothing. The manager told us in her Annual Quality Assurance Assessment that there is flexibility and choice in all routines and areas of daily life enabling people to maintain control over their daily lives. One person we spoke with told us, I get up when I feel like it. I like to spend time in my room watching DVDs and reading. Staff we spoke with demonstrated a good knowledge of the individual routines of people living at the home, including visits from family and friends. Comments received in the questionnaires returned by staff include The staff in the home give good support and treat residents the way they would like their own mum and dad to be treated. We always offer choices to residents and we do lots of activities with them. We observed lunch which is served in the dining room. Choices were offered and people who needed assistance to eat were supported by staff in a discreet, caring and supportive manner. The meal time was quiet and relaxed. Relatives are encouraged to have meals at the home and enjoy sharing this experience with their loved ones. People living at the service told us, we get a choice in what we would like at mealtimes which I find nice. and we get lots to eat, good, hot food. A relative told us The foods excellent. I wish I was having my lunch here today. Another relative said The foods very, very good. Even the pureed food is appetising. The staff we spoke with demonstrated a good understanding of the importance of choice and a healthy intake of food and drink. They know if someone is losing weight and this is monitored to identify any action that needs to be taken. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to complain and have confidence that concerns would be acted upon and responded to. The people who live at the service are safeguarded from harm and abuse. Evidence: The manager told us in her Annual Quality Assurance Assessment that there is a comprehensive complaints procedure in place and that all complaints are recorded and responded to within a 28 day timescale and a copy of the investigation and outcome are sent to the complainant. We saw the complaints book and no entries had been made since the last Key Inspection. We have not received any complaints about the service since the last Key Inspection. We saw the complaints procedure on display in the home and the people we spoke with all said they knew how to make a complaint. All the staff respond to comments made and pass on to senior staff. My family are well informed on how to make a complaint on my behalf. I have never had to complain, I have nothing to complain about, but if I did, I would and the boss would deal with it. The questionnaires returned to us by relatives all said that they know how to make a Care Homes for Older People Page 19 of 29 Evidence: complaint and that any concerns raised are dealt with appropriately. Very quick to act on concerns. Good open discussions over any issues, no matter how small or seemingly trivial. Always good and helpful outcomes. I have never had cause for concern with the care given at Beech House. Staff we spoke with said they had never dealt with a complaint but they talked us through the procedure and the action they would take if complaints were made. It would definitely be sorted out and dealt with. The manager told us in the Annual Quality Assurance Assessment that all staff have received safeguarding training. There have been no safeguarding allegations in the past year. We looked at the training file and found evidence of the safeguarding training and the staff we spoke with told us they have received this. I have never seen anyone behave in an abusive way. I would report them to the managers and I know they would deal with it straight away. Relatives and people living at the home told us that they feel safe. Care Homes for Older People Page 20 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean, safe, comfortable and well maintained home which meets their needs. Evidence: The manager told us in the Annual Quality Assurance Assessment that the environment is maintained to a high standard of comfort and hygiene. Beech House is primarily a homely environment and offers security and comfort to the service users. There have been some improvements to the decor in various parts of the home since the last inspection and building work has started on a thirteen bed extension. Upon the completion of this work, the remainder of the decorating and refurbishment tasks within the original building will also be completed. People living in the home told us that they are not really affected by the building work as it is outside and no-one was concerned about the decoration of the home, saying Its fine as it is. Theres nothing wrong with it now. People living at the home told us that they like the homely and comfortable environment. The bedrooms are all different and were decorated in a manner, Care Homes for Older People Page 21 of 29 Evidence: complimenting the individual room. We did a partial tour of the home and found it to be clean, comfortable and homely. The home was hygienic, fresh and odour free. Peoples bedrooms were furnished with personal belongings as well as any necessary equipment required for support. The communal areas, consisting of two lounges, a dining room, and a conservatory. These were all clean and comfortably furnished, creating a homely and welcoming atmosphere. People commented in questionnaires, There are never any odours. Bedding is always fresh and clean. Sinks and toilets are cleaned regularly. I visit the home twice every day and see them cleaning twice every day. People we spoke with who live at Beech House, told us, The home is clean, homely and warm. Staff we spoke with told us, Any repairs are done quickly and if anything is broken, it gets mended or replaced straight away. The home is well maintained and safe, it is always clean and free from odour. We saw the maintenance log book that told us all the necessary Health & Safety checks on services and equipment are up to date. The manager told us that a six monthly building risk assessment is carried out, food and food saftey check lists are completed monthly, the nurse call system is tested six monthly and fire systems are tested weekly. Care Homes for Older People Page 22 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by well trained staff in sufficient numbers to meet their needs. Evidence: The manager told us in her Annual Quality Assurance Assessment There is regular training for all staff in order to have a competent staff team to care for the residents and meet their changing needs. The training for staff at Beech House meets with the national training organisation workforce training targets. Newly appointed staff receive a common induction combined with a local induction within six months of their employment followed by NVQ2 or NVQ3 (National vocational qualification). We looked at the staff rota and found that there are usually three care staff on in the morning (excluding the manager) and two in an afternoon (excluding the manager). The night shift is staffed by two people, one who is sleeping but can be called on in any event. Cleaning staff are also employed. An Activity Co-ordinator has been employed previously but the post has been vacant for a few weeks, however, a new appointment has been made and the person commenced the post on the day of this Inspection. This post is for twenty five hours weekly over five days. The people living at the home told us that there are enough staff on duty to help them with their needs, They are available as soon as I need them, twenty four hours a day Care Homes for Older People Page 23 of 29 Evidence: I dont have to wait for help. You ask them for something and its done. All the questionnaires returned to us by people living at the home, said that staff are always available when needed. Our questionnaire asked relatives Do the care staff have the right skills and experience to look after people properly? Five said always and two said Usually. Comments include Many staff are untrained initially but are then trained to an excellent standard. Occasionally an individual member of staff is unsure but most staff are well trained. Relatives we spoke with at the home said, Can be short staffed, particularly at meal times. Cant praise the staff enough. The staff that returned our questionnaires all said that there are usually enough staff to meet the individual needs of the people living at the service. They also told us that they feel supported to do their work and have access to a variety of relevant training. The staff we spoke with at the home confirmed they have attended a number of courses and said they get good access to training, support and supervision. We looked at three staff files and all contained information about training that has taken place and some information about planned training. This was also recorded in the supervision files that we looked at. The manager told us in her Annual Quality Assurance Assessment that all staff have had satisfactory pre employment checks. We looked at three staff files and found evidence that all the correct procedures had been followed and all necessary documents were in the files, including references and evidence of Criminal Record Bureau checks. Staff we spoke with confirmed that they all had pre employment checks before starting work. Care Homes for Older People Page 24 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed and being run in the best interests of the people who live there. Evidence: The manager told us in the Annual Quality Assurance Assessment that she has level 4 National Vocational Qualification in Management and is also an experienced Registered Nurse. She told us We have developed a Quality Assurance system which is based on seeking the views of the service users and their relatives, as well as health care professionals that visit Beech House. Feedback is actively sought from service users through anonymous satisfaction questionnaires. The manager showed us the Quality Assurance audit record and it provided evidence Care Homes for Older People Page 25 of 29 Evidence: that peoples views are listened to and acted upon. The people we spoke with all confirmed that they have been asked for their views on the care provided. Relatives we spoke to told us that there are regular meetings for them to attend and they feel these meetings are invaluable. Records were seen of the minutes from these meetings. Relatives also receive a newsletter, keeping them up to date with everything that is happening at the home. People told us that they can approach the manager about anything and she always responds by listening to them and takes any appropriate actions. The questionnaires returned to us by relatives state To put it simply, I strongly believe that my relative is being well looked after by a group of people that I can call friends. Beech House is one of the very best. We are thoroughly happy and confident with both the care and the communication from the manager. I feel the manager always puts the needs of the residents first and is always happy to listen if concerns arise. The care home is well run. The care is second to none and they are always helpful and caring. We looked at the arrangements for peoples finances and found the records to be well maintained, with receipts for any expenditure. We found that the Health and Safety testing and servicing has been undertaken as required and staff told us that their Health and Safety is well protected as well as the people who live at the Beech House. They told us that they are up to date with all statutory courses and this was confirmed by training records. We looked at the accident book and saw that all accidents and incidents are documented and relatives are informed. Regulation 37 notices are completed where appropriate and sent to the Commission for Social Care Inspection. (this is a regulatory process which informs us of any reportable incidents that occur at the service.) Care Homes for Older People Page 26 of 29 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 27 of 29 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 28 of 29 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!