Inspection on 14/12/05 for Beech Lawn Care Home

This inspection was carried out on 14th December 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 Care Home 15/03/07

Beech Lawn Care Home 13/03/06

Beech Lawn Care Home 18/01/05

Beech Lawn Care Home 28/07/04

Similar services:

Snydale Care Home

Abbey The

Whiteley House

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Beech Lawn Care Home 48 College Street Sutton Hull East Yorkshire HU7 4UP Lead Inspector Malcolm Stannard Unannounced Inspection 14th December 2005 09:30 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 Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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 Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beech Lawn Care Home Address 48 College Street Sutton Hull East Yorkshire HU7 4UP 01482 375165 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) Beech Lawn Care Home Limited Ms Nora Rosina Saxby Care Home 28 Category(ies) of Dementia - over 65 years of age (28), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (28), Old age, not falling within any other category (28), Terminally ill over 65 years of age (28) Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2005 Brief Description of the Service: Beechlawn is a large house set in private gardens; a recent extension has enabled the home to increase the numbers of residents to be able to be cared for to 28. Car parking is available to the front of the home. The home is situated in the village of Sutton, which provides easy access to shops, a post office, churches and health care. Public transport is available close to the home. The home is registered to care for a range of needs. A summary of these is available on page 4 of this report. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over two visits on an unannounced basis. The manager was spoken with, some records were viewed and some areas of the premises were seen. Opportunities were available to speak with residents and visitors to the home. Requirements and recommendations made at the last inspection were reviewed. The home was accommodating 28 residents at the time of inspection. What the service does well: What has improved since the last inspection? The statement of purpose in relation to the home has been amended to include details of the physical environment of the home; staff member’s qualifications and arrangements for the review of residents care plans. A summary of the homes environment now appears in the service user guide. A statement of terms and conditions available for residents now includes details of the room which is to be occupied, details of the fees to be paid and by whom and contact details for the registration authority. As a result of a residents meeting, a shop is to be provided in the home to be run by residents and staff to allow essential items and luxuries to be purchased. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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 Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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): 1, 2 & 6. A statement of purpose and resident guide is available to ensure prospective users of the service have information, which enables them to make an informed choice. A comprehensive statement of terms and conditions protects residents. EVIDENCE: The homes statement of purpose has now been amended to include details of the homes physical environment; staff qualifications and arrangements for the review of residents care plans. The statement of purpose and service user guide both now meet the requirements of the standard and schedule, the user guide now including details of residents views of the home. A statement of terms and conditions available for residents includes details of the room, which is to be occupied, details of the fees to be paid and by whom and contact details for the registration authority. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 9 An assessment of needs is carried out by the manager prior to any admission to the home. This would be carried out in the prospective residents home or in hospital. A community care assessment would also be considered before the home make an offer of care. One resident was able to describe how she had been visited in hospital prior to her placement at the home been arranged. The home does not provide intermediate care and will avoid emergency placements wherever possible. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 10 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): 9 & 10. Appropriate policies, procedures and systems ensure safety in the area of medication. Residents are treat with dignity and respect. EVIDENCE: The policy relating to the storage and administration of medication in the home has been amended to ensure it reflects the actual practice within the home. The home use the Nomad system for medication provision and only senior staff who have received external training administer medication. Staff are able to access specialist advice from the pharmacy or GP if they have any concerns over any of the medication held or it’s affect on a resident. Observation of staff and resident interaction demonstrated that there are good relationships in place. Staff treat residents with dignity and called them by the names they preferred. It was apparent that all staff members had a good knowledge of each individual, in relation to their families and background. Any occasions when residents needed to be taken to see the hairdresser were explained fully before been taken. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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): 12, 13 & 14. Activities and stimulation meets the needs of residents. Contact with families and friends is encouraged. Choices are able to be made on a daily basis by residents. EVIDENCE: Residents are able to exercise choice over their daily routines and have a say in the running of the home via residents meetings. Residents are also furnished with details of an advocacy service they can contact should they so wish. A range of activities are made available for residents, including bingo, (which many of the residents said they enjoyed), quizzes and trips out in warmer weather. A Christmas party was also held for residents. During one of the visits to the home an impromptu session of dancing was held by residents and staff. The hairdresser was present during the afternoon, she explained that she had been coming to the home once per week for the last ten years. She said she liked coming to the home, as it was such a lovely atmosphere. Many of the residents were having their hair attended to. There is a dedicated hairdressing room, this would benefit from a shower type wash facility being available and some improved lighting. Ladies who were waiting to have their hair done said they would like some comfier chairs. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 12 Residents are able to receive visitors at any reasonable time and many spoke of families who came often. One gentleman who was visiting his mother said that he had “No complaints, it’s the best home my mum has been in”, another Stated, “It’s a very nice place”. There are ample areas for residents to receive visitors in private should this be required. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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): None of the above standards were assessed on this occasion. EVIDENCE: Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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, 24 & 25. The home provides a safe, comfortable and clean environment for residents, which is pleasant and homely. Work is required to ensure protection to residents in regard to heating radiators. EVIDENCE: Any maintenance required to the premises is recorded in a maintenance book, which allows for a record to be made of when and how this requirement was addressed. Service users following an assessment of risk are provided with a key for a lockable provision in their room, which can be used to store medication, money and valuables. All bedroom doors are capable of been locked and keys can be provided upon request again following a risk assessment. The management of the home must ensure that any request, the risk assessment carried out and the subsequent result is recorded in the individuals care plan. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 15 Some heating radiators in the home remain uncovered; the manager explained that as the radiators were differing sizes there had been problems with measurements. It is essential that this work be completed as soon as possible as it has now been outstanding for some time. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 16 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): 28, 29, & 30. Procedures for the recruitment of staff are satisfactory and offer protection for the residents in the home. Staff training enables good quality care to be offered. Formal qualification training programmes for staff require to be continued. EVIDENCE: There are presently 17 care staff employed of whom 9 hold a qualification which is equivalent to an NVQ level 2 in care, this is just below the required level of 50 of staff to hold such a qualification. The manager explained that 5 further staff members are due to enrol on the course shortly and so is confident that the target of 50 will be met. The home operates a robust recruitment and selection procedure, information is now included on the application form stating that procedures are based upon equal opportunities and carried out to ensure the protection of residents. An induction and foundation training package is available which meets with the targets of the training organisation. Each staff member has their own individual training plan along with dedicated training days which enables the needs of residents to be met. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 17 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 & 36. The home is led by an experienced manager who is registered with the Commission for Social Care Inspection. The completion of relevant qualifications will enhance the management style. EVIDENCE: The manager is experienced in residential care working in the care sector for over 19 years and having been the manager of the home for the last eleven years. The manager is presently undertaking an NVQ level 4 qualification in management and care; she explained that she hoped to have this completed by February 2006. There is an open management style in which the views of residents and staff are taken into account. The registered provider conducts visits as required by regulation 26 and copies of the report written following these visits are held in the home with further copies been sent to the Commission for Social Care Inspection. Internal quality checks and audits are also undertaken. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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 3 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X 2 2 X STAFFING Standard No Score 27 X 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 X X X 3 X X Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP25 OP31 Regulation 16, 23. 30. Requirement Radiators must be guarded or have low temperature surfaces. The manager of the home must hold a qualification in care and management, which is equivalent to NVQ level 4. 50 of the care staff must be qualified to NVQ level 2 or equivalent. Any request made for a resident to have a lockable provision in their room; the risk assessment and the outcome must be recorded in their individual file. Timescale for action 28/02/06 31/03/06 3. 4. OP28 OP24 31. 12, 23. 31/03/05 28/02/06 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 OP12 Good Practice Recommendations The homes management should consider improvements to the room used for hairdressing purposes. Beech Lawn Care Home DS0000060407.V254954.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Care Home DS0000060407.V254954.R01.S.doc Version 5.1 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. 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