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Inspection on 08/06/05 for Beech Hurst Nursing Home

Also see our care home review for Beech Hurst Nursing Home for more information

This inspection was carried out on 8th 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Rooms are being decorated in a more homely and contemporaneous style, which gives residents a more relaxed living environment. The activities coordinator has helped decorate rooms according to resident`s hobbies, for example in a football teams colours. Residents live in a safe and wellmaintained environment.

What has improved since the last inspection?

The manager has been working to reduce agency staff and has now achieved this aim. A residents involvement group has been implemented with a view to training staff to interact more effectively with residents and relatives.

What the care home could do better:

In general most residents stated that they enjoyed the food, however some comments were made on the vegetables. The beans were said to be stringy today and one resident and visitor stated that new potatoes have not as yet been served this year. Staff stated that there is choice and a choice was seen being served, but one resident stated that he had not been given a menu to choose from the day before. Menus are not on display in the dining rooms.The provision of nutritious and appealing food is paramount to maintaining health and welfare

CARE HOMES FOR OLDER PEOPLE Beech Hurst Nursing Home Butlers Green Road Haywards Heath West Sussex RH16 4DA Lead Inspector Sheila Gawley Unannounced Wednesday 8 June 2005, 09:00am th 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 Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beech Hurst Nursing Home Address Butlers Green Road, Haywards Heath, West Sussex, RH16 4DA 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) 01444 412208 Care UK Community Partnerships Limited Miss Wilhelmina Aletta Ackermann Care Home 60 Category(ies) of Care Home with Nursing 60 registration, with number of places Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Accomodation is provided in three units each with its own category of registration. One unit for up to 24 residents in the category (OP). One unit for up to 24 residents in the category Dementia over 45 years (DE) and over 65 in the category (DE(E). One unit for up to 12 residents in the category mental disorder over 45 years (MD) and mental disorder over 65 years (MD(E). Date of last inspection 8 November 2004 Brief Description of the Service: Beech Hurst is a care home providing nursing care and accommodation for 24 older people and 24 people over the age of45 with dementia and for 12 people over the age of 45 in mental disorder. The accommodation is laid out in three units to care for these categories of service users separately. The total number of registered places is 60.The home is located in Haywards Heath a short drive away from shops and other amenities.It consists of a two-storey building with kitchen and laundry facilities.The majority of the homes bedrooms are single and all of the rooms have en-suite facilities.The home has well-maintained and accessible gardens Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 8 June 2005 and the registered Manager Mrs W Ackermann was available for part of the inspection. The building was inspected and staff, residents and visitors were spoken to. Those spoken to were happy with the care received with two relatives stating that if there was a concern there would be no hesitation in raising it with the staff and that the outcome expected would be favourable. Residents were seen sitting outside in the sunshine. The home has responded favourably to recent adult protection referrals and has made improvements although the manager was asked inappropriately to arrange a strategy meeting for one referral which is contrary to adult protection procedures. What the service does well: What has improved since the last inspection? What they could do better: In general most residents stated that they enjoyed the food, however some comments were made on the vegetables. The beans were said to be stringy today and one resident and visitor stated that new potatoes have not as yet been served this year. Staff stated that there is choice and a choice was seen being served, but one resident stated that he had not been given a menu to choose from the day before. Menus are not on display in the dining rooms. Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 6 The provision of nutritious and appealing food is paramount to maintaining health and welfare 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 Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.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 Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.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) These standards were not assessed as they were fully met at the last inspection. EVIDENCE: Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.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) 7,8,9,10 Resident’s health, personal and social needs are set out in a plan of care. These needs are met and residents are treated with respect and dignity. Policies are in place to ensure residents safety in the handling and administration of medicines. EVIDENCE: Care plans examined were up to date and recorded ongoing social, personal, nursing and medical needs. There was evidence of risk assessment and monthly review. Relatives are invited to be involved in review. Residents and visitors spoken to state that they are treated with respect at all times. Medicines are appropriately stored and medicine administration charts inspected were up to date. Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.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, 15 The lifestyle experienced in the home matches expectations and preferences. Efforts are made to meet social need and recreational interests. Contact is maintained with family and friends. There is a choice of meals and there were varying comments on the suitability of those meals. EVIDENCE: Rooms are decorated according to choice and there are advertised activities. Staff receive training on how to involve residents and relatives. One less mobile resident stated that the opportunity to have conversations is limited. Relatives were spoken to and they stated that they are made welcome in the home. A choice of meals was served today and residents received appropriate help. The menu is not on display in the dining room and one resident stated that he had not been consulted regarding the choice for today. Most expressed pleasure with the meals but comments were made regarding the quality of the vegetables, that the beans were stringy today and that there have not been any new potatoes served as yet this year. Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 11 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) 16,18 Residents and relatives are confident that complaints will be listened to and acted on. Residents are protected from abuse. EVIDENCE: Residents and relatives were spoken to and stated that they are confident complaints will be listened to and acted on. There is a complaints book and procedure in place which was available for inspection. Residents are protected from abuse by the provision of training and procedures on abuse. Staff deemed unsuitable to work with vulnerable adults are referred for inclusion on the POVA register. West Sussex Adult Protection Procedures were discussed an the manager was inappropriately asked to set up a strategy meeting by Social and Caring Services Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 12 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) 19-26 Residents live in a safe, well-maintained environment. Residents have access to safe and comfortable indoor and outdoor communal facilities. Resident’s’ own rooms suit their needs. Residents live in safe, comfortable bedrooms with their own possessions around them. Residents live in safe, comfortable surroundings. The home is clean, pleasant and hygienic EVIDENCE: The home was inspected and all areas are well maintained. Two small lounges were locked awaiting replacement carpets. The outdoor area is well maintained with suitable seating. Residents were observed using these areas. Rooms are personalised with resident’s own possessions. Toilet and bathrooms are suitable to residents needs although the toilets at one end of the EMI unit were locked. This was discussed with the manager who will address this with staff. Specialist bed and hoists are available as required. There were not any unpleasant odours. Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 13 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) Theses standards were not assessed on this occasion EVIDENCE: Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 14 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) 31,32,33,38 Residents 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. Residents’ benefit from the ethos, leadership and management approach of the home. The health, safety and welfare of service users and staff are promoted and protected EVIDENCE: The registered manager has the qualifications necessary to run the home. Policies and procedures based on good practice are in place to protect the best interests of the residents. She has demonstrated that she is competent in running the home to meet its stated aims and objectives. The health, safety and welfare of residents and staff are ensured by the provision of training in moving and handling, fire safety, first aid and food hygiene Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 15 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 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 3 3 3 3 x x x x 3 Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 16 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 15 Regulation 16(2)(i) Requirement The registered person to provide in adequate quantities suitable, wholesome and nutririous food which is varied and properly prepared. Timescale for action 2 months 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 Good Practice Recommendations Beech Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 17 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Hurst Nursing Home H60-H11 S24114 Beech Hurst Nursing Home V231337 080705 Stage 2 1.doc Version 1.30 Page 18 - 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. 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