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Inspection on 26/07/05 for Beechbrook Residential Home

Also see our care home review for Beechbrook Residential Home for more information

This inspection was carried out on 26th July 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

Beechbrook provides a genteel and homely environment for the residents. The atmosphere is calm and relaxed and staff are attentive to the needs of the residents. The interior of the home has a very domestic feel with high quality furnishings, which enhances the feel of being in someone`s home rather than a structured care setting. The residents spoke of the kindness of the staff and commented on their willingness to support them and that they were "wonderful". The home has maintained a very consistent staff team with very little turnover or change, which the residents appreciate. The home appointed a new cook earlier in the year and the residents are very appreciative of the fresh homely meals that are provided for them. The home has a very attractive setting in spacious grounds that provide a pleasant view from the conservatory at the front of the home.

What has improved since the last inspection?

The home has refurbished its kitchen; the area is now more able to maintain good standards of hygiene. The paving to the swimming pool has been improved to provide a more level pathway for the residents to walk on. The home is in progress of updating its fire safety systems to meet the criteria of Berkshire Fire and rescue service.

CARE HOMES FOR OLDER PEOPLE BEECHBROOK The Holt Harehatch Wargrave Berkshire RG10 9TA Lead Inspector Sue Burton Unannounced 26 July 2005 @ 10:10 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. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Beechbrook Address The Holt Harehatch Wargrave Berkshire RG10 9TA 0118 940 3987 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) Mrs C Seagrim Mrs C Seagrim Care Home 15 Category(ies) of Older Person OP registration, with number of places BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 30/11/04 Brief Description of the Service: Beechbrook is a privately owned and managed home that is registered to provide care for up to fifteen older people. The service offers a hotel style of holistic care that is planned to enhance quality of life in a dignified and relaxing environment. Accommodation is offered in a two-storey building that was once part of Hare Hatch Grange, a nearby Georgian Mansion. Single rooms and suites of rooms are available.The house is situated in its own attractive private gardens that include a tennis court and swimming pool. The property is located in rural countryside near to Twyford and Henley. There is easy access to the motorway and the property offers ample space for car parking. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection on Tuesday the 26th of July 2005, which commenced at 10. 10 a.m. The inspection focused on the recommendations from the previous inspection in November 2004 and feedback from residents living in the home on the quality of life and the service provided. What the service does well: What has improved since the last inspection? The home has refurbished its kitchen; the area is now more able to maintain good standards of hygiene. The paving to the swimming pool has been improved to provide a more level pathway for the residents to walk on. The home is in progress of updating its fire safety systems to meet the criteria of Berkshire Fire and rescue service. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.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 BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.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) 1,3 The homes statement of purpose provides information for prospective residents. Resident’s needs are fully assessed before they enter the home. EVIDENCE: The inspector reviewed the homes statement of purpose and discussed with the proprietor potential improvements for the future in regard to the building and the possibility of registering the annex building. Any new arrangements will be required to be incorporated into the statement of purpose when they take place. The care plans of two recently admitted residents were examined, and found to contain evidence of a comprehensive assessment of need. The proprietor is currently considering how to improve the format of the homes documentation to ensure that all information is fully recorded. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.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) 7,10 Resident’s health, personal and social care needs are fully documented. Individuals feel they are treated with respect and their privacy is upheld. EVIDENCE: A number of care plans were examined and were found to be well detailed, reviewed regularly and evidenced consultation with the individual. Photographs were in place. Care plans contain a special request sheet which fully details an individuals choice of adddress, choice of early morning drink, if breakfast in bed is required and if so what choice of meal, where an individual chooses to take their meals, what time they like to get up in the morning and what time they wish to go to bed. Likes and dislikes are recorded, information in regard to allergies is documented and if an individual has any anxieties or worries that the staff need to be aware of. The inspector spoke to three residents one of whom had been there a number of years and one who had been there a few months all individuals commented on the care given by staff. Comments ranged from wonderful, “they do everything for you”, “you couldnt fault them, very considerate staff”, carer’s are splendid nothing is too much trouble. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 10 Residents spoken to by the inspector what happy to say they felt their privacy was respected, the inspectors observations supported those comments. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15 The residents find that the lifestyle experience generally matches their expectations and preferences. Contact is maintained with family and friends and the local community. Individuals are enabled and supported to exercise choice and control in their daily lives. Residents receive a wholesome and appealing diet in a location of their choice, and at a time that is convenient to them. EVIDENCE: Care plans contain records of each individual activity taken by the residents. These include relaxation and meditation, exercise classes, music appreciation, crosswords, quizzes and Scrabble sessions. Residents spoken to felt that some activities are limited to the ability of some individuals. The home actively encourages residents to maintain contact with their family and friends. Visitors are able to share a meal with the individual in their room if wished. Records support that some residents are taken out by family for lunch on regular occasions. One individual said that staff would willingly take her into Henley for shopping if wished, or they would get items for her if that was her choice. Communion takes place within the home on a regular basis. The residents confirmed that staff will do anything for you and will provide everything I want within reason. Residents are able to choose whether they BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 12 wish to have breakfast in bed and what they would like to eat or drink. An individual’s choice of time to get up in the morning is documented and acknowledged by the staff. The manager and the staff team understand the resident’s expectations and willingly try to meet them. The inspector visited the kitchen, which was in the middle of refurbishment, new worktops, cupboards, oven and extra dishwasher had been fitted and new tiles were in the process of being installed. The new cook who has been in post for six months and has relevant experience for the post. She makes a point of talking to the residents asking for their views and suggestions as often as possible. The residents spoken to said that the food has definitely improved over the last six months, there was more variety and the food tasted better. Individuals confirmed they enjoyed the freshly cooked food and said that alternatives are always available if wanted. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 standard(s) None of these standards were inspected on this occasion. EVIDENCE: BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 standard(s) 19,25,26 The premises are being upgraded to comply with Berkshire Fire and rescue service guidelines. The home provides safe and comfortable surroundings for the residents. The home is clean pleasant and hygienic. EVIDENCE: Works are currently being undertaken to ensure the home complies with the requirements of the local fire service following a visit that was made by a Fire Officer in May 2005. A fire safety deficiency notice was issued with a completion date of August 2005. At the time of inspection works were in progress to ensure compliance. Intumescent strips had been fitted around the doors. The home is recommended to confirm in writing to Commission for Social Care Inspection by the 1st September that it has met the fire authority’s deficiencies notice. The previous inspection had recommended that bath hot water temperatures were reviewed by the management. The proprietor advised the inspector that the individual resident who had requested a higher temperature had now left the home and the issue was now resolved. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 15 The inspector found the home to be clean, tidy and well organised and provided a calm and comfortable environment for the residents. The laundry floor has been treated within a permeable coating to ensure that is hygienic and easy to clean. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 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) None of the standards were inspected on this occasion. EVIDENCE: BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 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) 32 The residents in the home benefit from the homes open, positive and inclusive atmosphere. EVIDENCE: The manager of the home is also the proprietor and strives to ensure that her home provides a genteel and homely atmosphere for her residents. The inspector received very positive appreciative comments from the resident she spoke to about the quality of life and the service provided in the home. Residents felt comfortable to pass on comments about any aspect of their care, food or service to the manager and the staff. The inspector had discussed with the proprietor the special request sheet that is placed in the front of every care plan and how it enables the individual’s choices, likes and dislikes to be met and maintained, and how this good practice supports the residents in the home to feel so well cared for and happy. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 2 x x x x x 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 x x x x 3 x x x x x x BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 19 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 Regulation Requirement Timescale for action 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 19 Good Practice Recommendations The registered person confirms in writing to Commission for Social Care Inspection by 1st September that it has met the fire authoritys deficiencies notice. BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 BEECHBROOK H52-H01 11400 Beechbrook V232077 210705 Stage 4.doc Version 1.30 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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