Inspection on 08/12/05 for Beechfield

This inspection was carried out on 8th December 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.

Other inspections for this house

Beechfield 02/12/08

Beechfield 20/02/07

Beechfield 03/05/05

Beechfield 23/12/04

Beechfield 13/10/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Beechfield Beechfield 22 Hanger Hill Weybridge Surrey KT13 9XS Lead Inspector Kathy Martin Unannounced Inspection 8th December 2005 10:15 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 Beechfield DS0000013566.V271677.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. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beechfield Address Beechfield 22 Hanger Hill Weybridge Surrey KT13 9XS 01932 842380 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) Beechfield Trust Limited Mrs Audrey Claire Sentinella Care Home 16 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (10), of places Physical disability (1), Physical disability over 65 years of age (4), Sensory Impairment over 65 years of age (1) Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of persons for whom residential accommodation and personal care is provided at any one time shall not exceed SIXTEEN (16). The age range of the persons to be accommodated will be: 15 older persons (OP) 65 years and over up to 4 may be in the category PD (E), one in the category PD under the age of 64 years and one in the category SI (E). Accommodation may only be provided to one (1) resident with Dementia (DE) with prior written agreement of the CSCI. All staff are to receive ongoing training in the care of service users with dementia. 3rd May 2005 3. 4. Date of last inspection Brief Description of the Service: Beechfield is a residential care home for active Christian Scientists. It opened in 1946 and was the first Christian Science care home in Britain. Service users rely on bible-based methods of spiritual healing rather than on conventional Western medicine and care. The reliance of Christian Scientists on prayer alone for their health care is an integral part of their worship of God and practice of their religion. No medical processes, medication or interventions are used at Beechfield. The home is registered as a care home not providing medicines or medical treatment. It is registered for up to 16 people, as per the categories described above. The house is situated in Weybridge, in its own well-appointed grounds opposite the cricket green and close to shops. The railway station and several bus routes are in close proximity. There is a lift serving the upper floor. All bedrooms are for single occupancy and all but one have an en suite toilet, two with showers and two with baths. The majority of the building is wheelchair accessible. The Beechfield Trust administers the home. Several staff members and the management are active Christian Scientists themselves. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second CSCI inspection this year. The first inspection was conducted on the 3rd May 2005. All the national minimum standards for older people have been assessed over both inspections. This inspection was unannounced which meant that the staff and residents were not made aware beforehand of the visit. The registered manager was present during the inspection and was able to provide a good range of information for this report. The inspector looked at records, spoke lengthily with the manager, toured the building and spoke to residents although at that time residents were about to eat their lunch and were getting ready to be seated in the dining areas. The home was clean and tidy and there was a very homely and respectful atmosphere. The residents spoke highly of the staff and praised their environment. The home was running efficiently at the time of inspection and staff were calm and relaxed whilst undertaking their tasks. The inspector wishes to thank the residents, the manager and the staff who contributed to this report and for their courtesy during the visit. What the service does well: What has improved since the last inspection? All the requirements made during the last inspection have now been addressed. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 6 There have been marked improvements in the kitchen with regards to the refurbishment. It is now a pleasant environment and offers a good standard of hygiene. 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. Beechfield DS0000013566.V271677.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 Beechfield DS0000013566.V271677.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): This section was assessed during the previous inspection EVIDENCE: There were no changes to the admission process. Beechfield DS0000013566.V271677.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): 7 and 8 The home maintained good care plans for all the residents, which were updated and contained a good range of information on their social, physical and religious needs. Residents were not registered with any clinical practitioners but have an individual Christian Scientist Practitioner. EVIDENCE: The care plans inspected offered a good range of documentation about the residents’ needs although. All health related care is offered by an individual practitioner that the resident is in touch with, sometimes from abroad. The emphasis is heavily reliant on praying for healing. Residents are not registered with any doctors and receive no hospital treatment or medication. The care plans included likes, dislikes of residents, and any risk assessments, family/ practitioner input. The head of care also writes separately in the care plan. There are reviews of the care plans and daily notes are maintained. One requirement was made for updates to be signed and dated by staff who are recording these. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 10 Social services referred residents to Beechfield and have not conducted yearly reviews of their care. A recommendation was made for the manager to initiate contact with the social services in question to conduct those reviews. Beechfield DS0000013566.V271677.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): 13, 14 and 15 All residents have close contact with family, friends and their practitioners who also visit regularly. The home actively encourages residents to maintain independence in accessing the community and take control over their own lives and pursue their own interests. There is internal catering and residents are generally very pleased with this service. EVIDENCE: All residents have close contact with family, friends and their practitioners. There is open visiting. There is a lot of emphasis placed on prayer in the home in line with residents’ beliefs and ways of life. A study room for Christian Scientists can be used in Weybridge and there are currently 4 residents who go there regularly. The home facilitates trips to theatre, lunch meetings and shopping trips. Taxis can be arranged for these. If residents wish to, they are able to have a telephone connected in their bedrooms. The home welcomes voluntary help/ assistance from the local schools and church to provide Christmas activities, piano playing and bands to entertain the residents. Residents can have newspapers delivered. The ethos of the home promotes independence and residents making a choice in what they wear, choose to eat, decorate their bedrooms, pursue interests (piano playing, reading, socialising), spend their own money and go out. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 12 Standard 15: There is a dining room where all residents take their main meals. The kitchen was refurbished this year which has enhanced the environment. The cook and a catering assistant manage the kitchen and work within a set budget. A sixweekly rolling menu was assessed. This offered a choice of meals that were varied and offering an option for vegetarians. Snacks and beverages are available at all times. The residents spoken with were complimentary of the quality of meals they received. The cook was reported as very flexible and worked well with the manager to ensure they met the catering needs of the residents. Beechfield DS0000013566.V271677.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): 16 and 18 The home has procedures to deal with complaints and refer under the Protection of Vulnerable Adults procedures. EVIDENCE: The home has a comprehensive complaints procedure in place and welcomes feedback from residents and visitors. The staff are trained to take all comments made seriously and promptly resolve any issues. The manager is in close contact with the residents and often hears any issues first hand and is able to deal with these on the spot. This ensures a very happy atmosphere. There is a Surrey Multi-Agency procedure in place to deal with any suspected cases of abuse and the manager and staff are knowledgeable of how to refer any cases under these procedures promptly. All staff received training in the protection of vulnerable adults. Beechfield DS0000013566.V271677.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): 19 and 26 This section was assessed in full however for updates on the kitchen the comments are included in this report: EVIDENCE: A requirement was made regarding the kitchen during the previous inspection. The kitchen has been refurbished to provide a much more pleasant and a hygienic environment. The kitchen staff spoke with the inspector and stated that she was pleased with the works undertaken. There were no issues with the premises and the home was clean and tidy. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 15 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): 27 The home has sufficient numbers of staff to run efficiently. EVIDENCE: There is currently only one full time carer post vacant. This vacancy is being covered by Agency staff. For the continuity of the service provided the home aims to maintain the same Agency staff member for as long as possible rather than having to deal with new members of staff covering the vacancy until it is filled. The rota evidenced a low turn over of staff. There is a shift pattern, which ensures 24 hours care is available. There is discussion at senior management level to increase support for the head of care, who covers the manager’s absence at the moment as the head of care is employed for 20 hours. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 16 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): 35 and 38 There are procedures in place to ensure residents’ financial interests are protected and they are encouraged to take control over their own finances. The home has all the health and safety procedures in place to ensure the protection of all residents, staff and visitors. EVIDENCE: The home only assists residents who are unable to keep their own money. There are only very small amounts maintained on the premises individually kept and with clear logs of amounts spent and received. Staff signed all entries. These were inspected. All receipts are also maintained. It was easy to track any money received and spent for all the 4 residents who kept money with the home. The remaining residents were able to deal with their own finances. Some residents received assistance from their solicitors or family members. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 17 All health and safety requirements made during the last inspection have been addressed. The home had procedures to deal with health and safety and staff received training accordingly to promote good practices and ensure the protection of residents, visitors and their own. Equipment was regularly serviced and repairs are reported as prompt. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X 3 Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 19 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 7 and 8 Regulation 17 Timescale for action Updates on care notes to be 10/02/05 signed and dated at all times by those who write these Requirement 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 8 Good Practice Recommendations The manager to initiate contact with social services for yearly reviews to be undertaken for residents who were sponsored by social services. Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Beechfield DS0000013566.V271677.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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