Inspection on 05/01/06 for Beeches The - North Yorkshire County Council

This inspection was carried out on 5th January 2006.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beeches The - North Yorkshire... 17/08/09

Beeches The - North Yorkshire... 16/07/07

Beeches The - North Yorkshire... 26/07/06

Beeches The - North Yorkshire... 17/08/05

Beeches The - North Yorkshire... 18/01/05

Beeches The - North Yorkshire... 14/07/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beeches The - North Yorkshire County Council The Beeches Leeds Road Tadcaster North Yorkshire LS24 9JZ Lead Inspector Denise Rouse Unannounced Inspection 5th January 2006 10.20 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 Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beeches The - North Yorkshire County Council Address The Beeches Leeds Road Tadcaster North Yorkshire LS24 9JZ 01937 833603 01937 834772 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) North Yorkshire County Council Mrs Marie Denise Whitelock Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33) of places Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2005 Brief Description of the Service: The Beeches is a care home providing personal care and accommodation for 33 older people. It is run by North Yorkshire County Care Services, which is a North Yorkshire County Council business unit. Mrs Whitelock is the registered manager. The home is located close to the centre of Tad caster and service users can access the community amenities. The home was built approximately 30 years ago. It is a modern two storey building which is situated on a site shared with a day centre for up to 12 persons that is also managed by the homes manager. All bedrooms are ground floor and single occupancy. Bedrooms are arranged on four wings, some of which have a secure inner courtyards and a garden patio area for service users use. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 3.5 hours and was carried out by one inspector, following half a day’s preparation. The registered manager was not present at the time of the inspection, Barbara West, relief team manager assisted in the process. A tour of the premises was completed, which included communal areas, laundry, kitchen, offices and treatment room. A number of service users and staff were spoken with. The view of a visiting general practitioner was also sought. Some records were inspected, including staff rotas, staff files, menus and kitchen records. Residents personal allowance accounts were also checked and found to be correct. The inspection concluded with a feedback session, involving Barbara West relief team manager with Denise Rouse, Regulatory Inspector. What the service does well: What has improved since the last inspection? A mobile phone has been made available for service users, which allows them to receive personal calls in the lounges or in their own bedrooms. The registered manager monitors the dependency levels of service users every two weeks to ensure that there are enough staff available to meet the needs of service users. New staff does not start work without the necessary pre employment checks being carried out. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were inspected. EVIDENCE: Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 the following standard(s): Standard 9 10 Service users rights were upheld, however the method of storage for controlled medication was incorrect and may place staff at risk. EVIDENCE: Service users were seen to be dressed appropriately. A mobile phone was available for service users to use and receive private incoming calls. Telephone lines could be fitted within service users bedrooms at their own expense. Mail was given to service users unopened. Service users were seen socializing within several lounge areas and spending time within their own bedrooms. Staff addressed service users by their preferred name and knocked upon bedroom doors before entering. A visiting professional came to see a service user; the consultation took place privately, in the service users chosen environment. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 10 Standard nine was not fully inspected, but it was noted that the storage of controlled medication was incorrect. The registered manager must ensure that the home complies with current legislation pertaining to the storage of controlled medications. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 the following standard(s): Standards 14 15 Service users control their own lives and receive a wholesome appealing well balanced diet in pleasant surroundings. EVIDENCE: There were a variety of lounge areas for service users, all having televisions and sterios. Service users were seen making choices about where they would like to go within the home once they were out of bed. Quiet areas were also available for service users who preferred to sit on their own and relax. The main lounge offered a bar facility. A very jovial atmosphere was evident in this lounge with service users sitting together and really enjoying their conversations with each other and staff. The kitchen was inspected; the meal being prepared looked appetizing .The vegetables were being steamed to ensure nutrition was not lost. A choice of meals were available. Menus were in place upon the tables within the dining areas. Service users could eat within their bedrooms if they wished. The chef prepared food for service users with diabetes. There were no service users requiring puree food. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 12 The kitchen also provided a local “ meals on wheels” service to the community two days per week. Meals were also provided for four service users within a day unit at the home. Food and fridge temperatures were recorded. The kitchen and preparation areas were clean and tidy, apart from the potato rumbler and surrounding floor, which required cleaning. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were inspected. EVIDENCE: Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 the following standard(s): Standard 19 25 Service users live in a home that was clean and well maintained, however one corridor was very cold, with stored items impeding access; this may place staff and service users at risk. EVIDENCE: The home was warm, clean and tidy in most areas. The communal lounges were spacious and well decorated. However one smaller lounge had a carpet which was thread bare by the fire exit .The relief team manager stated that this was going to be replaced as there was a fault with the carpet. The gardens were tidy and there was a small-enclosed patio area with planters filled with winter flowers. The service users who liked gardening had planted these. The corridor leading to the day unit was narrow and very cold; the temperature was 11.8 degrees centigrade. Staff commented that they had to wear cardigans or coats to take service users through this area. Service users Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 15 also stated “ shut that door its too cold” when the door to this corridor was opened. There were a number of items being stored in this corridor, which could impede the escape route for service users and staff. Three wheelchairs were also placed in the corridor from the service users occupying the day unit. The relief team manager and a carer immediately rectified the situation by removing the stored items from the corridor. Storage of items must not occur within this corridor. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27 28 29 Service users needs are met by trained and competent staff who commence work after all necessary pre employment checks have been completed. EVIDENCE: The home manager monitors the dependency level of the service users every two weeks. This ensures that the needs of the service users can be met. Service users needs are met by a trained workforce; approximately 75 of the staff hold a National Qualification In Care at level 2 or 3. New staff have two written references on file. The Criminal Records Bureau and Protection of Vulnerable Adults checks had been completed. New employees did not commence work until this information had been received by the registered manager. The policy pertaining to the recruitment of staff was not current, it was last updated in 1997, and this requires reviewing and updating. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 31 35 The registered manager ensures that the home is managed well and service users are not placed at risk. EVIDENCE: Service users and staff were complimentary about the home manager, they stated, “ She was very approachable and would listen to their ideas comments or concerns.” A service user stated “ if I had a complaint I would speak to the manager and I know she would sort it out for me.” The Manager is currently undertaking her National Vocational Qualification in Management level 4 and the Registered Managers award. The relief team manager also confirmed that the home was run in a professional manner, by an experienced manager who was good at her job and approachable. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 18 Three service users personal allowance accounts were checked, all were correct. Receipts for transactions and purchases were kept at the back of each individual’s statement. Money was stored in individually named plastic wallets. Items received by service users and their relatives were signed for as being received. The administrator was operating a good recording system of personal allowance transactions within the home. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 19 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X 1 X STAFFING Standard No Score 27 3 28 3 29 2 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 20 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 OP9 Regulation 13 (2) Requirement The registered manager must ensure that controlled medication is stored correctly to comply with current law and legislation. The registered manager must ensure that the corridor leading to the day unit is; • Heated to a temperature Above 23 degrees centigrade. • Not used as a storage area at any time. Timescale for action 05/02/06 2. OP25 23 (2) (l) (p) 05/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP15 Good Practice Recommendations The registered manager should ensure that the potato rumbler and surrounding floor and walls are cleaned daily. A record of this cleaning should be maintained. Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 21 2 3 OP19 OP29 The registered manger should ensure that the defective carpet in the small lounge is replaced. The registered manager should ensure that the policy pertaining to the recruitment of staff is reviewed and updated to reflect current law and legislation. The registered manager should continue to gain the National Vocational Qualification Level 4 in Management and the Registered Managers Award. 4 OP31 Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Beeches The - North Yorkshire County Council DS0000034437.V273810.R01.S.doc Version 5.0 Page 23 - 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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