CARE HOME ADULTS 18-65
Beechdene Care Home 29-31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY Lead Inspector
Stephen Benson Key Unannounced Inspection 3rd October 2006 9:15 Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 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 Beechdene Care Home DS0000008631.V314561.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 Adults 18-65. 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. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Beechdene Care Home Address 29-31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY 01623 649351 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) Mrs Doreen Parkes Mrs Doreen Parkes Care Home 15 Category(ies) of Learning disability (15), Old age, not falling registration, with number within any other category (2) of places Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. Thirteen (13) residents shall fall within registration categories LD and LD/E Two (2) named residents shall fall within registration category OP. This category shall cease to exist once those residents leave the home 31st October 2005 Date of last inspection Brief Description of the Service: Beechdene is a care home providing long-term personal care and accommodation for 11 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. The manager said on 03/10/06 that the fees for the service range from £319 £335 per week depending on dependency needs. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The inspection looked at key standards for younger adults. The site visit lasted for 4 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, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. A pre inspection questionnaire was completed and survey forms sent to the home by The Commission for Social Care Inspection had been completed by all of the residents. What the service does well:
The manager said that community care assessments are provided to the home before any resident moves in. Assessments were seen on file, which were dated before residents moved in. A resident spoke of visiting the home before he moved in. The evidence shows that new residents are assessed before they come to live at the home. Care plans had details of each resident’s needs and how these should be met. The manager said that care plans are prepared with residents and residents spoke of discussing their plan and being able to look at it when they wanted. The evidence shows that residents know their assessed needs and personal goals are reflected in their individual plan. The manager said that residents make suggestions about things to do and gave going swimming as an example. Staff spoke of encouraging residents to make choices and residents confirmed that they did. The evidence shows that residents’ make decisions about their lives with assistance as needed. The manager described how a resident was assessed to be able to use the bus without an escort and staff spoke of providing support according to residents’ ability. Residents are able to make themselves drinks and snacks. The evidence shows that residents are supported to take risks as part of an independent lifestyle. Residents have opportunities to attend college, seek employment or attend day centres. The manager said someone is being employed to teach residents life skills. The evidence shows that residents are able to take part in age, peer and culturally appropriate activities. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 6 Residents use local sports and social venues and go out shopping. Residents spoke of going to the shops and going out for a meal. The evidence shows that residents are part of the local community. Arrangements for residents to have contact with their families are included in care plans and residents have friendships with people outside of the home. Residents spoke of having visitors. The evidence shows that residents have appropriate personal, family and sexual relationships. Residents do their own washing, ironing and cleaning, with support available as required. Residents have their own keys to their rooms. One resident had a care plan to help him develop a daily routine. The evidence shows that residents’ rights are respected and responsibilities recognised in their daily lives. The home buys in pre prepared frozen meals and residents then have a choice of three dishes each day. There are cooking sessions each week where residents prepare supper. Residents spoke of their favourite dishes. The evidence shows that residents are offered a healthy diet and enjoy their meals and mealtimes. Staff spoke of encouraging residents to do as much for themselves as they can and residents said they were happy with the support they receive. The evidence shows that residents receive personal support in the way they prefer and require. A record is made of all heathcare appointments attended and these showed that residents access a variety of services including well person clinics and flu jabs were being arranged. A letter commenting on the psychological progress of one resident was seen. The evidence shows that residents physical and emotional health needs are met. The building is kept clean and well maintained. Staff said any repairs are carried out straight away. The evidence shows that residents live in a homely, comfortable and safe environment. Residents are supported to clean their own rooms and share in the cleaning of the home with staff. Protective clothing is available. Residents felt the home is fresh and clean. The evidence shows that the home is clean, pleasant and hygienic. Staff were able to interact with residents and spent time with them. Some staff have successfully completed a National Vocational Qualification in care and other staff are working towards this. The evidence shows that residents are supported and protected by an effective staff team. Staff files included copies of training certificates and staff spoke of recent training. The evidence shows that residents individual and joint needs are met by appropriately trained staff. The manager is assisted in running the home by a management consultant who ensures the administration is in good order and senior staff also share in some of these duties. The evidence shows that residents benefit from a well run home.
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 7 Residents are encouraged to put their views forward. Residents spoke of completing questionnaires and having residents meetings. The evidence shows that residents are confident their views underpin all self monitoring, review and development by 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. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents are assessed before they come to live at the home. EVIDENCE: The manager said that a copy of the Community Care Assessment is always obtained before a new resident comes to the home and a series of visits are arranged to the home. The home has its own assessment documents, which are completed once a resident moves in. Staff said that prospective new residents come for a visit to the home when they can meet staff and other residents. Staff said they had read some information about a recently admitted resident and had been told about their needs by the manager. A recently admitted resident said, “I came with a Social Worker to visit the home. The file showed that a Community Care Assessment Assessments had arrived at the home before the resident moved in and included details of any specialist assistance a resident requires. The manager said that anyone is welcome to apply for a place providing they fall within the registration category for the home. There are both male and female residents of a variety of ages at the home, all of whom are of white European origin. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents know their assessed needs and personal goals are reflected in their individual plan. Residents’ make decisions about their lives with assistance as needed. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: A sample of three care plans were looked at. These were obviously in regular use and were kept up to date. Plans included assessments, risk assessments and details of the support the resident requires. Information on sign language was seen. Some of the plans have been written in a person centred approach (where they are written in the first person) and the manager said that all plans are being changed over to this approach. The manager said that staff sit and talk with residents to find out what they can do and what they want and build the plans from there. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 11 Staff said that they write in plans daily and read up what has happened, and that care plans are useful to say what is going to happen. A resident said, “The manager and my keyworker have been through my care plan with me. I think I have had a say in my plan and I can look at it when I want. Care plans include details of resident’s gender, ethnic origin, religious beliefs and any disability. The manager said that she and staff are always sitting and talking with residents and coming up with ideas, residents have started going swimming again after someone suggested it. Staff said that they try to encourage residents to make choices and they do so on a daily basis, things like what they wear, what perfume they want, when they get up and go to bed, although they are encouraged to met their daily commitments. A resident said, “I can make decisions about things, but I can’t go out on my own, someone has to come with me. I agree with that, I would like to be able to go out on my own but know I can’t”. A member of staff was seen asking a resident if they were going to book a taxi to take them to the day centre. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents with assistance from staff all residents ticked the box stating they always or usually make decisions about what they do. The manager said that they try to ensure that everyone can live as independent as they can and gave examples of assessing a resident being able to make their own way to a work placement using a bus, assessing a college room for a resident to attend a course and going cycling when staying at the caravan regularly used for short breaks. The manager said that all residents have a mobile phone and have been taught how to use it so they can contact staff if needed. Staff spoke of providing differing levels of support to residents dependent upon their ability, some needing to be watched to ensure their safety and others needing practical assistance. Staff said they have to accompany one resident to the bus stop when going to work as it means crossing the main road, but not on the return journey as the road does not need to be crossed. A resident said, “I use things in the kitchen, like the kettle, I burnt my arm when using it recently and was told about being more careful, I want to carry on being able to make myself a drink. It was put in my care plan”. A kitchenette has been fitted into one resident’s room who likes to make drinks and snacks. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents have appropriate personal, family and sexual relationships. Residents rights are respected and responsibilities recognised in their daily lives. Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: A resident said, “I have finished an art course at college which I enjoyed. I’m hoping to be able to do another course for 3 days a week”. The manager said a new member of staff is being employed to help develop life skills with residents and spoke of helping residents achieve new skills to provided them with greater opportunities. One resident is being taught how to
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 13 serve and use a till in a craft area so a further work opportunity will be available. Staff said that residents go to various places during the day, including day centres, colleges and work placements. Courses studied include art, health and beauty and life skills. One resident works at a nearby coffee shop and another does voluntary work in a charity shop. Residents were seen leaving the home to differing destinations using various methods of transport. The manager said that residents are encouraged to put forward ideas of things to do and places to go. This has included swimming, bird watching and indoor bowling. Residents are also involved in shopping and go to a local supermarket to buy their packed lunches each week. Staff said that residents go on regular trips to local places of interest, such as garden centres, and go swimming at local leisure centre. Staff said there are regular holidays and short breaks arranged to the manager’s caravan and some are going to Jersey for New Year. A resident said, “We are going to stay in a hotel at Christmas” and “I went to Mansfield shopping yesterday” and “I go out sometimes with staff for a meal”. One resident attends church regularly and the manger said that all Christian festivals are celebrated as all residents belong to The Church of England. Care plans included details of contact with families and friends. The manager said that it is very important to support residents to keep in contact with their families and residents have plenty of opportunity to meet people outside of the home and make friendships. The manager said that nonabusive personal relationships are supported. Staff said that residents are able to phone their families and some go to stay with them for weekends or go away on holiday together. Staff said that residents are supported with any personal relationship they develop and where appropriate arrangements can be made for residents to have a guest stay overnight. A resident said, “Sometimes my dad visits me”. The manager said one recently admitted resident is being supported into a daily routine as he will stay in bed without any encouragement to get up. This was included in the care plan. Staff said that residents make their own breakfasts and have their own keys to their rooms. Staff said that they will provide any support residents require and often have to help put the bedding on. A resident was seen being supported to clean her room and do her washing by staff. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 14 A resident said, “I do my washing on Tuesdays, I do my own ironing and clean my room”. The manager said that any special diet for personal choice, religious or health reasons would be accommodated and residents are encouraged to eat healthily. Packed lunches included salad bowls and fruit. The home buys in pre prepared frozen meals from a local catering company, and there is a choice of three dishes provided each day to ensure residents have a variety of dishes. Residents are able to take part in cooking, from heating the meals in the microwave to organised cooking sessions. Staff said new dishes are tried and curries have been added as residents like these. A resident went to get the menus and said, “I like some of the meals, I will choose chicken curry today” and “I do cooking with a member of staff on Wednesdays and have cooked things like spaghetti bolognaise and pancakes which we have for supper”. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and require. Residents physical and emotional health needs are met. Residents retain, administer and control their own medication where appropriate, but are not being fully protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The manager said that residents are encouraged to do what they can for themselves, although some do need some practical support. Staff said that they help residents when needed but the help needed tends to be more encouragement than physical. A resident said, “I wash my hair in the shower, sometimes I need a bit of help which I ask for when needed. I am comfortable with staff that help me”. Care plans showed that residents have a range of medical appointments including well person clinics, psychiatrists, general practitioners, dentists and opticians and a record is made in the care plan of all appointments attended. Care plans are prepared where any medical need is identified and one
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 16 psychological care plan was supported by a letter stating how well the resident has progressed. The manager said that two residents are going for a well person’s check tomorrow and a letter has just been received about arranging for flu jabs. Residents who are able sometimes attend appointments on their own but staff accompany if needed. Staff said they encourage residents to attend to their personal hygiene and the manager usually makes any medical appointments and a record is made when a resident has a healthcare appointment. A resident said, “I have different appointments with different people. A chiropodist does my feet and sometimes I go to the doctors”. Medication is stored in a wallet system and residents are encouraged to share in being responsible for taking their medication. Two residents self medicate and others are given their tablets by staff, which they then take. There is not a record made when staff have given residents their medication and Medicine Administration Records must be used. The manager said that Medicine Administration Records were sent to the home, but they were not being filled in. The manager said that she had misunderstood this and thought they did not need to be completed as they gave the medication to the residents. Staff said they put tablets into the residents hand and watch them take them but do not make a record of this. A resident said, “Staff give me my tablets, In try to do as much as I can to take them, but sometimes I can’t pick them up so need staff to help”. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted on. Systems are not in place to protect residents from abuse, neglect and self harm. EVIDENCE: There is a complaints book, which included recent complaints made which have been responded to appropriately. One complaint was about a resident not being able to go on a holiday. The manger had explained due to certain behaviours could not be safely managed this would not be possible at this time, but the opportunity was there to go in the future if these could be dealt with. Staff said they had not had any complaints made to them but would pass any directly onto the manager if made. A resident said, “I would tell the manager or staff if I had a complaint, they would sot it”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents with assistance from staff all residents ticked the box stating they know who to speak to if unhappy and how to make a complaint. Staff spoken with did not know about the Adult Protection Procedures and there has not been any recent training provided in the home about these. A resident said, “I have not been mistreated by anyone here, sometimes we might have an argument, but I give as good as I get”.
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 18 In the survey forms sent out by The Commission for Social Care Inspection and completed by residents with assistance from staff all residents ticked the box stating they are treated well. The manager said there have not been any reported incidents of abuse and that any form of abuse or discrimination would not be accepted and would be dealt with by following the Adult Protection Procedures. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 19 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. The home is clean, pleasant and hygienic. EVIDENCE: The home is well laid out with several communal areas, however not all areas of the home are accessible to wheelchair users. There is a stair lift to assist with access to one part of the first floor. The manager said that it is planned to fit an ensuite to one of the bedrooms and new carpet has been laid on part of the ground floor. Staff said that the building is kept to a high standard and if anything needs doing the manager gets it done straight away. A resident said, “The building is ok, it’s easier for me now that I have a room on the ground floor”. The home was clean, tidy and fresh. The manager said that residents clean their own rooms, with support as required and staff give them a thorough Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 20 clean every few months. Other cleaning duties are shared out and everyone mucks in. Staff said that they have protective gloves and aprons, which they only wear once. A resident said, “I help with some of the cleaning”. In the survey forms sent out by The Commission for Social Care Inspection and completed by residents with assistance from staff all residents ticked the box stating the home is always or usually fresh and clean. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 21 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by competent and qualified staff. Residents are supported and protected by the home’s recruitment policy and practices. Residents individual and joint needs are met by appropriately trained staff. EVIDENCE: Staff were seen interacting well with residents and using differing skills to communicate with them The manager said that four staff are currently working towards National Vocational qualification level 2 and three have completed level 3. Three staff are working towards level 4. A resident said, “Staff are very good”. All staff employed at present are white British and female with a wide age range. The manager said that applications from men and people of differing cultures would be welcome when there are any job vacancies. Staff files showed that new staff are required to complete an application form, attend for an interview, provide three references and undergo a Criminal
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 22 records Bureau check. One member of staff who was working in the home had not had a Criminal Records Bureau check returned but there was Protection of Vulnerable Adults check on file and the manager said that the member of staff was only allowed to work when under direct supervision. Staff described training they have undergone and there were copies of training certificates on staff files. A resident said, “I keep out of the way when staff are having training, they can do their jobs”. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 23 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well run home. Residents are confident their views underpin all self monitoring, review and development by the home. The health, safety and welfare of residents are promoted and protected. EVIDENCE: The manager, who is also the provider has run the home for a number of years, and is supported by a management consultant who usually spends about one day per month at the home. The manager is currently working towards National Vocational Qualification level 4. Staff said that the home is well run and they feel supported. They can ask if they are unsure of anything. A resident said, “The home is run in the best interests of the residents, she is the best person in the home”.
Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 24 All residents have completed a survey form about the home, with assistance from staff, sent by the Commission for Social Care Inspection. The manager said that residents are regularly asked for their views including things like are their bedding and towels aright or do they need replacing. Staff said that if residents say anything they listen to their views and will discuss in staff meetings. A resident said, “I filled in a questionnaire. Sometimes we have a residents’ meeting on a Sunday. We are able to have our say about the home”. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. Dates of tests were recorded in the pre inspection questionnaire showing they are regularly carried out. A resident said, “”I didn’t come out of my room yesterday when they were testing the fire alarm – it was staff training – I was told I had to come out”. Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 25 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No 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 YA20 Regulation 13 Requirement The registered person must ensure safe practices are adhered to when administering medication The registered person must ensure that residents are protected from abuse and self harm Timescale for action 16/10/06 2 YA23 12 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Beechdene Care Home DS0000008631.V314561.R01.S.doc Version 5.2 Page 28 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
