Inspection on 07/06/05 for Beechmore Court

This inspection was carried out on 7th June 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

Beechmore Court 15/07/08

Beechmore Court 06/07/06

Beechmore Court 16/11/05

Beechmore Court 01/12/04

Beechmore Court 15/06/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE BEECHMORE COURT 267 SOUTHLANDS ROAD BICKLEY BROMLEY, KENT BR1 2EG Lead Inspector CHERYL CARTER ANNOUNCED 7 JUNE 2005 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 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. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service BEECHMORE COURT Address 267 SOUTHLANDS ROAD, BICKLEY, BROMLEY, KENT BR1 2EG 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) 0208-854-7778 0208-295-0596 CEDARMORE HOUSING ASSOCIATION LIMITED JULIA ISAACSON CARE HOME 36 Category(ies) of DEMENTIA - OVER 65 YEARS OF AGE (16), OLD registration, with number AGE, NOT FALING WITHIN ANY OTHER of places CATEGORY (20) BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 1st December 2004 Brief Description of the Service: Beechmore Court is a purpose-built two-storey home providing care for older people. The upper floor is accessed via a lift. The home is generally well maintained and and each service user have their own room which is centrally heated. The service users can control the central heating in their rooms. Service Users can personalise their rooms. There is access to a telephone and service users can have their own telephone in their room at their own expense. For safety purposes all the radiators and hot pipes are guarded. There are grab and hand rails on stairs and passageways. Toilets, showers and bathrooms have specialised bathing, toilet equipment and lifting aids. All toilets, showers, bathrooms and bedrooms are accessible from the outside in case of emergency. Service Users can also have a radio, television and video in their room at their own expense. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out over six hours in the presence of the manager. A tour of the building was made. The environment is comfortable and generally well maintained and free from odours. The inspector spoke with two relatives, the staff available on duty to gain insight into staff understanding of the care needs of service users and to assess the level of competency of the staff team in ensuring the welfare of service users. Staff files and care plans were seen. The Registered Manager is very involved in the day-to-day care of the service users. There are systems in place to ensure the Health and Safety of the Service Users. Comment cards returned by other professionals such as the GP, District Nurse and from relatives were positive. This was a satisfactory announced inspection. What the service does well: What has improved since the last inspection? What they could do better: The home could offer more outside activities and there is a need for transport with a tail lift to facilitate these activities. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 6 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. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5 Residents admitted to Beechmore Court know that their needs will be met. EVIDENCE: The home has a Statement of Purpose and a Service User’s Guide that gives prospective service users the information that allow them to make an informed decision before moving into the home. The manager or her deputy are responsible for carrying out all assessments to ensure that all the personal and health care needs of prospective service users can be met at the home. Service Users are issued with a contract and terms and conditions of the Home. All service users have a month’s trail, before their placement is confirmed. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 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 standard(s) 7, 8, 9, 10, 11 There are systems in place to enable staff to meet the needs of the service users. EVIDENCE: Residents Care Plans are reviewed regularly. The pre-admission questionnaire underpins care plans that are person centred. Physical and Mental Health assessments, personal risk assessments, behaviour assessments, pressuresore assessments, nutrition screening, are all included in the person centred care plans. Residents were generally well presented. Residents and relatives spoken to and questionnaires returned were very positive. A number of staff has undertaken the training in the administration of medication. Only staff that have undertaken training in the administration of medication administer medication. One service user self medicates and this medication is stored appropriately in the service user’s room. There was evidence to show that staff members are aware of the importance of ensuring the service users privacy and dignity. The home has a policy and guidelines on the care of the dying and what to do in the event of a death of a service user. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 10 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 standard(s) 12, 13, 14, 15 The home has a range of activities. Meal times are unhurried. EVIDENCE: The home has an activities co-ordinator that has responsibility for the daily activities in the home. Service users are encouraged to attend these activities, however the element of choice is always taken into account and it is up to the service users if they wish to participate. Visits from friends and relatives are encouraged. The local vicar visits the home weekly and a service is held for those who wish to attend. Lunch is served in the dining room, and the tables are nicely set. The meal observed was unrushed and service user appeared to enjoy the meal. The menus seen showed a balanced and varied menu. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 11 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 standard(s) 16, 17, 18 The arrangements for protecting and responding to complaints are adequate. There are also systems in place to protect service users from abuse. EVIDENCE: The Home has a complaints policy. Staff, residents and their relatives have access to his policy and know how to complain. There were no complaints recorded since the last inspection. The inspector will like the recording of complaints to include any complaints regardless of how trivial it may seem, how it is dealt with and the outcome. All staff have received in house training in adult abuse and whistle blowing. Recommendation 1. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 12 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home is clean, bright and free from odours. EVIDENCE: The Manager is responsible for the day-to-day care and maintenance of the home. There is a handyman who deals with general repairs. The home is clean, well maintained and free from offensive odours. Service users are encouraged to use the garden that is enclosed and is a safe area. There are sufficient numbers of toilets and bathrooms and each room has a wash hand basin. There are eight rooms in the Florence House that has en-suite rooms; the Isabelle unit has three en-suite rooms and Brooker unit has 7 en-suite rooms. There is also a Loop System microphone for hearing Aids. There are electric hoists and assisted baths. The inspector saw evidence that these are serviced every six months. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 Staff with appropriate qualities are recruited and trained so that they have the necessary skills to do the job. EVIDENCE: The care staff has a good understanding of the service users support needs. This is evident from the positive relationships, which have been formed between the staff and service users. Staff is aware of the values of the service, their roles and responsibilities. Staff is supervised regularly and the registered manager maintains supervision records. Supervision and foundation training provides continued evaluation and support to enable staff to work to best practice. All senior carers have achieved Level 2 NVQ. The rotas accurately reflected the staff on duty on the day of the inspection. The staffing on each unit is reflected in the level of support needed on each unit. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 34, 38 The home is run with the safety and interests of the residents as a priority. EVIDENCE: The Registered manager of the home is a Registered Nurse and holds a Level 4 NVQ in Care Management. The manager has over five years experience and has completed a Registered Manager’s Award. There is an annual quality assurance audit and this is published for service users, families and staff and a copy is sent to the Commission. Company accounts were not available on the day of the inspection but the Annual Accounts and the Auditor’s Report for the Housing Association was later sent in to the Commission. This is not specific to the home but covers all the business interest of the Association. The accounts seen suggest that the Association is financially viable. A sample of safety systems seen was well kept and up to date, Fire Records, Portable appliances, gas and Electricity Records, hoists were current and up-to-date. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 x 3 3 x x x 3 BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 16 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 OP16 Good Practice Recommendations All complaints regardless of how trivial it may appear should be recorded, how it was investigated and the outcomes recorded. BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection SIDCUP AREA OFFICE RIVER HOUSE 1 MAIDSTONE ROAD, SIDCUP KENT DA14 5RH 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 BEECHMORE COURT G51S6912Beechmore V222989 07-06-05 Stage 4.doc Version 1.30 Page 18 - 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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