This inspection was carried out on 12th August 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.
CARE HOME ADULTS 18-65
Beechdene Care Home 29/31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY Lead Inspector
Stephen Benson Unannounced 12/8/05 9.30am 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Beechdene care Hime Address 29/31 Woodhouse Road Mansfield nottinghamshire NG18 2AY 01623 649351 01623 644415 beechdene@btinternet.com Mrs Doreen Parkes 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. Doren Parkes CRH 15 Category(ies) of LD 13 registration, with number OP 2 of places Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: 2 named residents shall be within category OP this shall cease when these residents leave the home. Date of last inspection 12/01/05 Brief Description of the Service: Beechdene is a care home providing long-term personal care and accommodation for 10 younger adults who have a learning disability and 2 named older people. . The home is owned by Mrs. Parkes and is run as a family business The home is located in a residential area on the outskirts of Mansfield town centre, close to shops, pubs, the post office and other amenities. The home was opened in 1983 and consists of a former guesthouse combined with a former domestic dwelling.Thirteen of the home’s bedrooms are single, and 5 of the bedrooms have en-suite facilities. Bedrooms are located on 3 floors in one part of the home and on two in the other. The latter has a stair lift.The home has an enclosed courtyard area that is well maintained and easily accessible. There is car parking available for up to 7 cars. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 3 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed. A relative was spoken with, but no visiting professionals were seen. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: What has improved since the last inspection?
A requirement was set at the last inspection that contracts/terms and conditions given to residents must be signed.
Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 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. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Residents needs are well documented in their care plan along with personal goals. Residents are able to make decisions for themselves and support is available to help them to minimise any responsible risk. EVIDENCE: There is a care plan in place for each resident and those seen were well completed and are designed to met the requirements of National Minimum Standards. Plans include risk assessments and set objectives for the resident to achieve. Plans also show where progress has been made. The manager was seen discussing plans with residents and staff said they use them daily. Residents said that staff discuss their care plan with them and they are involved in the preparing and reviewing of their plans. The plans included a section for residents to record their involvement in their plans. Residents’ choices and preferences are included in care plans. A visitor said that her relative makes decisions in some things where able but cannot manage things like money. Staff described good practices in promoting choices for residents. Residents said they are able to make their own decisions, including going out on their own, going shopping and attending a local club. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 10 Where residents’ choices present any form of identified risk, this is assessed. One resident who likes to go out unescorted sometimes has been assessed for crossing the road and the resident said that she knew the green cross code. Staff said that they will assess any risk that they see and activities are organised. A relative said that residents are encouraged and helped to do a lot for themselves and felt that this had helped her relative to mature. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 11 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 17 Residents are supported to exercise their rights and fulfil their responsibilities. Catering arrangements are unusual but residents are satisfied with them. EVIDENCE: Details are included in care plans as to what residents are able to do and record any restriction. Residents are involved according to their ability in general housekeeping tasks. A resident said that she does her washing and ironing on Fridays and likes to clean her room and help with vacuuming and dusting. Residents are able to have a key to their room and if they do not a record is made of the reason why. Residents are able to have the main meal either at lunchtime or in the evening depending upon their preferences. The home uses an outside caterer to provide the main meals. A choice of meals is available at every meal and residents said they were happy with this arrangement and said which meals were their favourites. For those who like a larger meal then they are able to have two portions. Residents are able to be involved in meal preparation at other meals and there is a catering activity one evening a week.
Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Residents are encouraged to be as responsible as possible for their own health and personal care. EVIDENCE: Staff said that they discuss issues of promoting privacy and dignity in staff meetings and were able to describe good practices. Residents are supported to do as much for themselves as they can. One resident was concerned about when able to use the buzzer in mornings when requiring assistance, however the manager clarified that the buzzer can be used at anytime when assistance is needed. Arrangements are in place to promote residents well being and heath needs are included in care plans. Residents use well person clinics and see the doctor if feeling unwell. A resident said that she does her own blood sugar level monitoring. There is a process in place for assessing whether residents are able to self medicate and a number of residents do so. Medication administration records were fully completed and up to date and medication was appropriately stored. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 13 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 14 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 The building is suitable for its purpose. EVIDENCE: The property consists of two adapted houses, which provide comfortable and spacious accommodation. The home is well maintained and clean and tidy at the time of inspection and some “freshening up” decorating was taking place. There are a number of interesting features around the home. The layout of the home is adapted so that the differing ages of residents can have space without infringing on each other. Residents and relatives think the building is suitable for its purpose. Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23
ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 4 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Beechdene Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 18 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 Good Practice Recommendations Beechdene Care Home C03 C53 S8631 Beechdene V243752 120805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Edgeley House Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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