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Inspection on 10/12/07 for Beechcliffe Residential Home

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

This inspection was carried out on 10th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

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

The home has a warm friendly and homely atmosphere and people living there and visiting relatives said that this is always the case. Everybody said that they were well looked after and that staff attend to their needs in a way that suits them. People are encouraged to display their personal possessions in their bedrooms to make them feel at home. A wide range of activities are available for people to join in with if they choose to do so. Some people said that they prefer to spend time in their own rooms reading or watching T.V. People can follow their own routines and relatives and friends are welcome to visit at any time.The staff are well trained and provide care to people in a sensitive manner. They take time to sit and talk to people. Everybody said that the staff were kind and relationships between everybody are relaxed and friendly. People are protected by the recruitment procedures in the home which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home.

What has improved since the last inspection?

What the care home could do better:

There is no registered manager in place. A manager must be appointed and an application made to us to register them. This will make sure that the home is run in the best interests of the people living there. To make sure that people`s medication is handled safely all staff administering medication must receive appropriate training. To make sure people are kept safe in the event of a fire all staff must receive regular and updated fire safety training, including evacuation procedures. To make sure that the home provides a safe environment records must be available to show compliance with health and safety regulations.

CARE HOMES FOR OLDER PEOPLE Beechcliffe Residential Home 16 Park Drive Heaton Bradford West Yorkshire BD9 4DR Lead Inspector Cheryl Stovin Key Unannounced Inspection 10th December 2007 11:00a 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 Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechcliffe Residential Home Address 16 Park Drive Heaton Bradford West Yorkshire BD9 4DR 01274 487207 01274 497352 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) Mr Jarnail Singh Bassan Vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number disorder, excluding learning disability or of places dementia (1), Old age, not falling within any other category (25) Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC; 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 - Code OP Dementia - Code DE(E) Mental disorder - Code MD(E) The maximum number of service users who can be accommodated is: 25 The place for MD is for the named service user only. To admit one named service user in the category of DE 2. 3. 4. Date of last inspection 13th February 2007 Brief Description of the Service: Beechcliffe is a large detached Victorian building standing in its own grounds in the Heaton area of Bradford. The home can now accommodate 24 older people in a mixture of single and double rooms. The home does not provide nursing care. There is good disabled access into the premises and a large garden available for service users. Car parking is available to the front of the building. The home is fairly close to a number of amenities within the local area including shops, public houses and a large park. The home is also well served by local transport. The weekly fees for the home are £390 and do not include costs for hairdressing, chiropody, toiletries and personal transport. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report brings together evidence gathered during a key inspection of Beechcliffe. This included an unannounced visit I made to the home on 10th December 2007. The purpose of the inspection was to make sure that the people living at the home are receiving the care and support they want and that they and their families are satisfied with the service. During this visit a full tour of the building was undertaken, records were examined and we spoke to staff and the people living at the home. In addition comment cards were sent out to give people an opportunity to share their views of the service with us. One person living at the home returned their survey, four relatives replied and one social worker. The last inspection of Beechliffe was on 13th February 2007 no additional visits have been made. An Annual Quality Assurance Assessment (AQAA) was sent to the home but was not completed and returned. We would like to thank everybody for their warm welcome and assistance given during this inspection. What the service does well: The home has a warm friendly and homely atmosphere and people living there and visiting relatives said that this is always the case. Everybody said that they were well looked after and that staff attend to their needs in a way that suits them. People are encouraged to display their personal possessions in their bedrooms to make them feel at home. A wide range of activities are available for people to join in with if they choose to do so. Some people said that they prefer to spend time in their own rooms reading or watching T.V. People can follow their own routines and relatives and friends are welcome to visit at any time. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 6 The staff are well trained and provide care to people in a sensitive manner. They take time to sit and talk to people. Everybody said that the staff were kind and relationships between everybody are relaxed and friendly. People are protected by the recruitment procedures in the home which makes sure that all the necessary checks are carried out before staff are employed. This makes sure that only suitable staff are employed in the home. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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 Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are fully assessed before moving in. This makes sure that the home is suitable and can meet their needs. EVIDENCE: Everybody has an assessment before moving into the home to make sure that the staff can meet their needs. People are encouraged to visit before making a decision to move in. This gives everybody an opportunity to meet the staff and other people living at the home and to sample the daily routine. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s health and personal care needs are met and personal support is given in a way that promotes and protects people’s privacy and dignity. Not all of the staff are trained in handling medication. EVIDENCE: The care records of six people were looked at. The records were well organised with detailed care plans in place. The care plans include all activities of daily living in addition to personal and health care support needs. Information is included about the person’s previous lifestyle, this means that staff have information to make sure that people’s previous interests are followed. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 10 An ‘equalities action plan’ is completed for everybody which makes sure that people’s religious and cultural needs are identified and plans put in place to make sure that these are met. An assessment is made of people’s communication needs and plans put in place to make sure that the most appropriate form of communication is used. An example of this is that one person has very limited understanding of the English language and the home has liaised with the family and simple translation tools are used to make sure the person understands what is being said to them. Risk assessments are completed which show what staff need to do to make sure that risks are minimised and help ensure that the people using the service are kept safe. People’s health care needs are being met. There was evidence that GPs, district nurses and other health care providers were seeing people when necessary. Everyone who returned a survey said they always received the care and support that they need. Relatives also said that in their opinion, people’s needs were being met. .Additional comments made included: “They take time to listen”. “They look after X very well indeed”. “He is very well looked after, I visit various care homes to tend to my friends and Beechcliffe is the best by far”. “Provides excellent personal and hygiene care with hairdressing and pedicure services provided regularly”. We saw the lunchtime medication being given out. The staff administering the medication said that they hadn’t received any training in medication issues. They said they had their name down for the new training that is being planned. The Medication Administration Records (MAR) had not been completed for the morning medication. The morning medication appeared to have been given as the medication had gone from the morning section of the blister pack that the tablets are dispensed in. There was no record of who actually gave the tablets to people as the MAR had not been signed. To make sure that people are kept safe staff must receive training before being given the responsibility of handling medication. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People choose how to spend their time and join in activities provided in the home. The quality of the meals provided is good and mealtimes are a relaxed social occasion. EVIDENCE: The home has a warm and welcoming atmosphere, one person living there described it as “a home from home”. People choose how they want to spend their time each day. Some people prefer to spend time in their room; others prefer to sit together in the lounge. Some form of activity takes place in the home daily. The programme of activities is displayed and included: listening to relaxing music, creative painting, cards and board games, quizzes, bingo and sing-a-long. One person said: “I am not interested in doing any activities and this does not bother me. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 12 I prefer watching T.V in my room and going for walks depending on the weather and also going to the pub occasionally”. Visitors were seem to be warmly welcomed into the home and said that this is always the case. Relatives made the following comments about their impression of life in the home: “X always looks well cared for and appears happy”. “I know that Beechcliffe would find it very difficult to improve on their facilities, I am very impressed with them”. “They look after the wellbeing of X very well”. Mealtimes are a relaxed social occasion. The majority of people sit together in the dining room to eat their meals. The main meal of the day is served at lunchtime. The meal being served during the visit was: baked haddock or gammon steak in a parsley sauce, served with creamed potatoes, and peas and carrots, followed by date cake. Tea is a lighter meal and there was a choice between steak sandwiches or jacket potatoes with various fillings. People who require assistance with eating are helped in a sensitive manner. Everybody said they enjoyed their meals, one person said: “I always enjoy my meals they are very good”, another person said “All the food is prepared very well”. Special diets can be catered for and an alternative is always available if a person doesn’t want what is on the menu. There are strict hygiene routines in the kitchen which makes sure that food is served safely and at the correct temperature. The home has recently been awarded four stars following an inspection by an environmental health officer. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home, and their relatives, are aware of how to raise a concern or make a complaint if they are dissatisfied with the service. The staff have an awareness of adult protection procedures. EVIDENCE: The home’s complaints procedure is displayed in the home with all the correct contact details. The people who completed surveys said they knew about the complaints procedure and who to speak to if they were unhappy about anything. They also said the staff listen to them and act on what they say. The relatives who completed surveys said they knew how to complain and they knew who they would speak to if they had any concerns. Staff said they knew what to do if they suspected or witnessed people not being treated properly. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,22,23,24,25,26 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a safe and clean home that is in the process of being refurbished. EVIDENCE: Beechcliffe is a large detached property set in it’s own grounds and is in a residential area with easy access to the centre of Bradford. The owner is in the process of refurbishing the home and the bedrooms and communal areas that have been completed are bright and comfortable. Twelve of the bedrooms are now equipped with en-suite facilities. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 15 There is a lack of attention to detail in some parts of the home, especially some of the corridors which are untidy and cluttered. Unused furniture, pictures and ornaments should be removed for safety reasons and to improve the appearance of the area. The downstairs bathroom was seen to be particularly untidy with an open clinical waste bag and discarded underwear. (This area had been cleared by the second day of our visit.) One bedroom had no curtains and another had no lampshades and to improve quality of the environment these must be provided. Everybody is encouraged to bring with them personal possessions and small items of furniture to make sure that they feel at home and that their rooms reflect their individual interests and tastes. People said that they liked their rooms and one person said “I am satisfied with the home and the cleanliness of the building”. There is a designated smoking area in the home for people living there who are smokers. This is greatly appreciated by the people who use this area. Staff and visitors cannot use this facility and have to leave the grounds if they wish to smoke. There are safe and accessible garden areas for everybody living at the home to enjoy in the warmer weather. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are met by a well trained and competent staff team, and are protected by the rigorous recruitment practices. EVIDENCE: There are sufficient staff on duty at all times to meet the needs of the people living at the home. There are always three members of staff on duty during the daytime. During the night there are two waking night staff. As well as the care staff domestic and catering staff are employed along with a handyperson and laundry assistant. This makes sure that the care staff have time to sit and talk to people. People living at the home know who is on duty each day as a board in the dining room tells them who is working and when. Relationships between staff and everybody living at home are relaxed and friendly with appropriate use of informality and humour. People said that all the staff were kind to them and attend to their needs promptly. Everybody said that the staff listen to what they say and are available when they need them. One person said that “the girls are wonderful and that makes the difference”. One social worker who sent in a survey said “I had a meeting with a senior Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 17 care assistant from Beechcliffe and she seemed very competent and was able to answer all my questions”. Members of staff said that they enjoyed working at the home and said that they work together as a team. They have a good awareness of people’s needs and provide care in a sensitive and caring manner. The staff team are well trained which makes sure that care is given in a consistent and safe manner. There is a programme of National Vocational Training (NVQ) in care in the home. Over 50 of the staff have their award which means they are qualified and competent. Staff recruitment files were seen which showed that all the required preemployment checks had been carried out. All staff are subject to Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures before an offer of employment is made. Two written references are also required. This makes sure that only suitable staff are employed at the home. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management arrangements in the home are weak with no permanent manager in post. Staff are not appropriately trained in fire safety procedures.. EVIDENCE: There has been no registered manager at the home for several months. Since the registered manager left the home has been run by a previous manager. This person is now on sick leave and senior staff from the organisation’s other Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 19 homes are overseeing the running of the home. The proprietor told us that he has advertised for a manager but had received no suitable applications and is intending to advertise further in a more specialist publication. To make sure the home is run in the best interests of the people living there a permanent manager must be appointed. There are financial procedures in the home to make sure that people’s money is held safely. Staff say that they receive health and safety training including moving and handling training. The staff I spoke to could not recall when they last took part in a fire evacuation test, and no records could be found to indicate the date of the last fire safety training. To make sure that people living and working in the home fire safety training must be regularly provided for all staff. The staff could not find any certificates to show that gas and electrical systems had been checked. Records must be held to show compliance with the relevant regulations, this is to make sure that people are living and working in a safe environment. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 20 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 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 x 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x x 2 Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 21 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 Standard OP37 Regulation 17 Requirement Timescale for action 31/12/07 2 OP31 9 3 OP38 23 4 OP9 13 To make sure that people are living and working in a safe environment the registered provider is required to have the required health and safety records in place, up to date and available for inspection. This remains outstanding from the last inspection. Timescale of 13/04/07 not met. To make sure that the home is 31/03/08 run in the best interests of the people living there a manager must be appointed and an application made to us to be registered. To make sure that people living 31/12/07 and working in the home are kept safe fire safety training must be provided for all staff and people made aware of evacuation procedures. To make sure that people are 28/02/08 kept safe all staff administering medication must be appropriately trained. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 22 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. 2 Refer to Standard OP19 OP26 Good Practice Recommendations The registered provider should continue with the home’s refurbishment programme in order to improve the living environment for people living at the home. To improve the living environment of people living at the home clutter must be removed from corridors and bathrooms. Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Beechcliffe Residential Home DS0000001227.V357000.R01.S.doc Version 5.2 Page 24 - 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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