Inspection on 06/09/05 for Beech Lawn

This inspection was carried out on 6th September 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beech Lawn 05/02/08

Beech Lawn 13/03/07

Beech Lawn 07/02/06

Beech Lawn 15/02/05

Beech Lawn 01/09/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Beech Lawn Nursing & Residential Home Higher Lux Street Liskeard Cornwall PL14 3JX Lead Inspector Alan Pitts Unannounced 6 September 2005 10:00 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 Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beech Lawn Address Beech Lawn Nursing & Residential Home, Higher Lux Street, Liskeard, Cornwall, PL14 3JX 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) 01579 346460 whitchurch@careltd.fsnet.co.uk Beech Lawn Care Home Ltd Mrs Julie Ann Weale Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability over 65 years of age of places (4), Terminally ill over 65 years of age (2) Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Total number of service users not to exceed 30 Date of last inspection 16/02/05 Brief Description of the Service: Beech Lawn is a care home with nursing, for a maximum of 30 older people. It is a listed property with purpose built extension situated near the centre of Liskeard in a quiet residential area. Accommodation is provided in 25 single and 2 double rooms, all rooms have television points, and if required telephones can be installed at the service users expense. Service users requiring nursing care are provided with ground floor accommodation. A stair lift provides access to the first floor. There is a sheltered courtyard garden/patio at the rear of the home, providing a sitting area for the service users. At the front of the home is some off road parking, with a car park to the rear of the property. The home has a Registered Manager, Mrs Julie Weale who is in charge of the day to day management of the home. Mr & Mrs Stratton took over the home last year as the new owners, and they visit the home on a regular basis. A qualified nurse is on duty at all times and additional health care is arranged as required e.g. dentistry, chiropody. Social and entertainment activities are provided. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the inspector’s first visit to this home. Overall impressions were good. The home displayed an unhurried and calm approach to daily life, which was reflected in the comments of the service users. Service users confirmed that they would feel able to approach and speak with staff. The registered manager and the deputy manager were cooperative and informative throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 6 There are a number of requirements and recommendations, which are primarily of a managerial or ‘systems’ nature, one requirement and one recommendation has been carried over from the previous inspection. 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 Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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 Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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, 6 Although service users generally have the information they need, an up-todate Statement of Purpose and Service User Guide are lacking. All prospective service users are assessed prior to moving into the home. EVIDENCE: The registered providers are in the process of reviewing and developing the Statement of Purpose and Service User Guide – this process is nearing completion. The new document will be distributed to all service users in the near future and a copy sent to the Commission for Social Care Inspection. Care needs assessments are in place, but these are not as comprehensive as they could be due to the use of a tick system rather than explanatory comments about the service user’s care needs. The home does not provide intermediate care. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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) EVIDENCE: These standards were not inspected at this time. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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 The lifestyle offered at the home meets the social/recreational expectations of the service users. EVIDENCE: The registered manager confirmed that service users are free to determine their own waking day, and this was borne out by the comments of the service users. Service users are able to choose an alternative meal should they so desire, and are able to choose whether or not to participate in the social/recreational activities offered. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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, 17, 18 Service users are protected from abuse, and are able to confidently voice any complaints. EVIDENCE: The home has a Complaints Policy, which is clearly displayed in the entrance hall and the statement of purpose and service users guide. The Commission for Social Care Inspection has received no complaints since the last inspection. A complaints book is kept. The service users are entered on the electoral roll and some participated in the last general election. Mail is distributed unopened to the relevant service user, or where necessary, it is opened with the relevant service user. A Protection of Vulnerable Adults policy is in place. This should be complimented by a Protection of Vulnerable Adults procedure, which provides clear instruction to staff as to the steps to take in the event of an allegation of abuse (including contact details for the relevant agencies). Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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, 23, 25, 26 The home is clean and well maintained, providing service users with a safe and comfortable environment. Service user rooms were seen to be personalised and comments received from service users in respect of the home were positive. EVIDENCE: The registered provider employs a maintenance person who carries out the ongoing maintenance and upgrading of the home. There is an ongoing upgrade of all the vanity units in individual service users bedrooms. There is a sheltered patio/courtyard area where service users can sit out, which the current owners have recently upgraded. Service users own rooms suit their needs. Service users spoken with during the inspection commented that they were happy with the accommodation offered and were able to enjoy a comfortable lifestyle. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 13 The Registered Provider has commenced a programme of installing hot water thermostats throughout the home (total immersion areas, such as baths, have already been completed). As discussed, this programme must be determined by the findings of risk-assessments that take into account the individual service user and the service user’s room. The home appeared clean, hygienic and free from offensive odours throughout. There were suitable hand washing facilities for both staff and service users, with plentiful supplies of liquid soap and paper towels. Disposable gloves and aprons were provided in strategic places throughout the home. Cleaning staff were evident during the inspection. The laundry facilities have been moved to a larger and fully fitted laundry room. The home employs separate laundry staff. The laundry is separate from food preparation areas. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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) 28, 29, 30 Care is provided by experienced and competent staff, and service users are protected by the home’s recruitment procedures. EVIDENCE: Aside from the registered manager, one member of staff has completed NVQ Level 4 training. Twelve staff have completed NVQ Level 2 training, and there are currently eight staff undertaking this training. There are 25 care staff, of which 13 have achieved NVQ level 2 or above, approximately 55 . Three staff personnel files were inspected and seen to demonstrate a robust employment procedure in operation. The registered manager should keep a record of interview. An induction programme is in place for new staff, but the registered manager must implement an induction programme that complies with the National Training Organisation (www.topss-england.net - now called ‘Skills For Care’). The registered manager should ensure that all staff have a copy of the General Social Care Council Handbook (www.gscc.org.uk). Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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) 33, 34, 36, 38 The home is run in the best interests of service users. Staff are supervised. EVIDENCE: Feedback is actively sought from service users and their relatives/representatives about the services provided to them. This is undertaken through service user questionnaires, which can be submitted anonymously, and service user and relative meetings. The meetings are listed on the notice board with minutes taken and distributed to all who attended the meeting. The outcome from the service users surveys are discussed at the management and staff meetings. The registered manager should publish a summary of the findings of the annual quality assurance questionnaires (e.g. in the Service User Guide) and should extend the questionnaires to staff and other professionals who have input to the home. The Inspector identified the need to ensure compliance with the requirements of the Data Protection Act. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 16 There is evidence of staff supervision available. The registered manager undertook to ensure that the supervision diary displays planned supervisions and two initials when supervision has occurred. The home displays health and safety posters, the contact details of the health and safety executive and environmental health department should be displayed. All staff receive training relating to health and safety, including moving and handling and fire training. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 17 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 2 x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x 3 x 2 3 STAFFING Standard No Score 27 x 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 2 x x 2 3 x 3 x 2 Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 18 YES 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 1 Regulation 4, 5 Requirement The registered provider must make an up-to-date Statement of Purpose and Service User Guide available to service users. The registered manager must implement an induction programme that complies with the National Training Organisation (www.topssengland.net - now called ‘Skills For Care’). The programme of fitting hot water thermostats must be determined by the findings of risk-assessments that take into account the individual service user and the service user’s room. This requirement is carried over from the previous inspection. Timescale for action 01/10/05 2. 30 18 01/11/05 3. 25 13 01/11/05 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 3 Good Practice Recommendations The registered manager should review and amend the preD52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 19 Beech Lawn Nursing & Residential Home 2. 18 3. 4. 5. 6. 38 29 30 33 admission assessment forms to ensure that explanatory comments about a service users care needs may be entered. The Protection of Vulnerable Adults policy should be complimented by a Protection of Vulnerable Adults procedure, which provides clear instruction to staff as to the steps to take in the event of an allegation of abuse (including contact details for the relevant agencies). The home displays health and safety posters, the contact details of the health and safety executive and environmental health department should be displayed. The registered manager should keep a record of interview. The registered manager should ensure that all staff have a copy of the General Social Care Council Handbook (www.gscc.org.uk). The registered manager should publish a summary of the findings of the annual quality assurance questionnaires (e.g. in the Service User Guide) and should extend the questionnaires to staff and other professionals who have input to the home. 7. 8. Beech Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, PL25 4AD 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 Lawn Nursing & Residential Home D52-D04 55098 Beech Lawn V243092 060905 stage 4.doc Version 1.40 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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