Inspection on 10/08/09 for Beech Tree Care Home

This inspection was carried out on 10th August 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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 Tree Care Home 26/09/08

Beech Tree Care Home 26/03/08

Beech Tree Care Home 26/09/07

Beech Tree Care Home 02/05/06

Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Annual service review Name of Service: Beech Tree Care Home The quality rating for this care home is: The rating was made on: two star good service 2 6 0 9 2 0 0 8 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Tracey Horne Date of this annual service review: 1 0 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Sprents Lane Overton Hampshire RG25 3HX 01256771353 01256771336 beechtree@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Southern Cross Operations Limited Number of places (if applicable): Under 65 Over 65 0 61 61 0 The maximum number of service users who can be accommodated is: 61 The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Physical disability - PD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: A new manager has been in post since 10/06/09 but is not yet registered with us. The previous manager had been in post for six months at the time of the last key inspection. We have not been made aware of the changes to the management arrangements. 2 6 0 9 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 7 Beech Tree is a care home providing personal and nursing care for up to 61 service users in the older persons category. The home is situated near to Basingstoke in the village of Overton. The home consists of a three storey building which was purpose built. There are forty-seven single rooms and seven shared rooms most of the single rooms have en-suite facilities. There is a passenger lift and a small-enclosed garden with easy access for wheelchair users. The range of fees for the home is 450 pounds to 750 pounds per week. There are no additional charges. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys were returned to us by people using the service, staff and from other people with an interest in the service. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. And the previous key inspection. What has this told us about the service? The last Key Inspection judged outcomes for people who use the service to be good. No requirements or recommendations were made and the service met all National Minimum Standards that were assessed and exceeded two standards. The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and informative. The AQAA states that the service welcomes prospective residents, families and visitors to view the home. Pre admission assessments are completed by the manager and involve the prospective resident, family and other healthcare professional to gain relevant information, which then forms the basis for the care plan. Trial visits can be arranged and if care is to be provided a contract is written up and a review takes place within six weeks to ensure needs are being met. Care plans are individual for each resident and are up-dated monthly or sooner if necessary. Residents views are actively sought allowing them to feel involved in their care. Activities are varied and a second activities coordinator has been employed. Staff are well trained and there is a varied skill mix between the team. The homes interior and exterior are well maintained and create a homely atmosphere. The service has received eight complaints, one of which is waiting an outcome. One safeguarding referral and one safeguarding investigation has been made. We received information in June 2009 and alerted Adult Services to this under Safeguarding procedures. We are waiting for an outcome of this investigation. The service has identified in their AQAA the following areas for improvement, to support more care staff to achieve NVQ level 2 and 3 and for the manager to obtain registration from us and to complete her RMA. The last key inspection stated Consistent reviewing of staffing levels and staff deployment through the home will enable residents needs to continue to be met. The AQAA states that the ratios of care staff to residents is decided using a residential forum guide tool. The service is fully staffed and there is an option of having additional staff on duty at peak times if necessary. Annual Service Review Page 4 of 7 Fifteen service users responded to our surveys, nine agreed they always receive the personal and healthcare support they need, six stated usually. Eight service users stated there are always staff available when they need them, six usually. Most service users are aware of who to inform if they are unhappy and are confident that their concerns will be taken seriously as staff listen to and act on what is being said. One response was completed with help and stated they did not know how to make a complaint so it was unclear if this meant the service user or the person completing the form on their behalf was not aware. Eleven service users stated the home is always clean, four usually. Most stated that the meals were always or usually good, three stated sometimes. Other comments received included looks after me giving me the care and respect I need, always friendly faces, really helpful, keep my family informed. Everyone is wonderful and kind to me, anything I want done is soon done. Eleven out of the fifteen staff who responded to our survey strongly agreed they are given up to date information about service users that enable them to provide appropriate care and support. Four stated usually. All agreed the service had carried out Criminal Record Bureau (CRB) and relevant pre employment checks before employment started. Staff are confident they receive relevant training on a regular basis and meet regularly with their manager for support and to discuss how they are working. Comments made included For the first time in years we have a good manager who cares about the staff. All staff agreed they knew what to do if someone has concerns about the home. Opinions varied as to whether there were enough staff on duty to meet the individual needs of all people at Beech Tree. Three stated always, six usually, five sometimes and one never. Comments received included good manager and co workers, we work well as a team. We have a good staff team that makes the residents feel safe. Well organised management, good team work and atmosphere, giving quality care to residents. The home supports its employees by encouraging to attend ongoing training and by being up to date with new innovations. Promotes a friendly atmosphere which makes residents feel comfortable. Staff are approachable, friendly and show respect for residents privacy and dignity. Seven staff made the following comments More things, jobs are needed during the night to stop people sleeping, regular check ups and unexpected visits should be made. Employ more staff day and night, especially during staff sickness as most of the time we dont have cover at all putting extra pressure on the staff already working. The home needs a more qualified and experienced home trainer. Could do better if we had more staff. Maybe if we had more staff so we could look after our residents better. More experienced staff and more staff for the individual floors. Provide more staff especially care staff have less paperwork. More team work needed in the kitchen. Two staff agreed that activities could be improved by providing More activities and wider choice of activities. One disagreed slightly and stated there is plenty going on but residents should have choice and not be forced into activities they do not want to do. Relatives and staff should get involved more with activities when activity staff are not there. One stated there is always something for residents to do. Overall staff felt the home is clean and tidy but one stated the top floor of the home is very hot in the summer months, we have fans in every room but it is still very hot. Two staff stated Annual Service Review Page 5 of 7 the food is good. One healthcare professional responded to our survey and was generally satisfied with the service provided by Beech Tree. Comments included Beech Tree are in my opinion always trying to improve their service and are keen to be as helpful as possible. The service continues to let us know about some things that have happened since our last key inspection, but they did not inform us of the circumstances regarding the safeguarding issues in June 2009. What are we going to do as a result of this annual service review? The information obtained or received indicates that there may be a change in the quality of the service provided. We will hold a management review to decide if we need to change our inspection schedule. 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