Inspection on 08/06/07 for Beechmount Residential Home

This inspection was carried out on 8th June 2007.

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

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Beechmount Residential Home Rousdown Road Chelston Torquay Devon TQ2 6PB Lead Inspector Stella Lindsay Key Inspection (unannounced) 8th June 2007 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 Beechmount Residential Home DS0000069116.V337947.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 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. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechmount Residential Home Address Rousdown Road Chelston Torquay Devon TQ2 6PB 01803 605607 01803 605870 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) South West Residential Homes Ltd Emma Louise Perkins Care Home 25 Category(ies) of Dementia - over 65 years of age (25), Old age, registration, with number not falling within any other category (25), of places Physical disability over 65 years of age (25) Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code OP to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability aged 65 years and over - Code PD(E) 2. Dementia - Code DE The maximum number of service users who can be accommodated is 25. This is the first inspection under the new ownership. Date of last inspection Brief Description of the Service: Beechmount is registered to provide residential accommodation with care for a maximum of twenty-five people who are over the age of 65 and may have a disability or dementia. There is a passenger lift from the ground floor to the first floor. Three rooms on the first floor can only be accessed via a flight of stairs. Four other rooms are reached via four steps. Three of the twenty-two bedrooms are large enough to be used as double rooms. Most rooms are en-suite. The home in the Chelston area of Torquay and is close to local shops and facilities. It has a garden with views across the bay. Current fees are £275 - £360 per week. The most recent inspection report is available in the entrance hall. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days in June 2007. It involved a tour of the premises and meetings with the home owner, the Registered Manager and the Group Quality Manager and four staff on duty. The inspector met with or observed thirteen of the fifteen people who were in residence at the time, shared a meal and spent some time with the residents in the lounge. Surveys were received from a random sample of staff and residents’ relatives, and their views are represented in the text. Care records, staff files, health and safety records and the medication system were examined. What the service does well: What has improved since the last inspection? Residents and staff in the home as well as relatives and staff returning surveys were pleased with improvements that have been introduced by the new owners. Recording of assessment and care given have improved, to promote consistency and good practice. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 6 A medication trolley has been provided to improve security and safe administration of medication. A stand aid has been provided, to promote safety in residents’ mobilisation. A computer system has been introduced, for Beechmount and all the South West Residential Care Home establishments. This will enable easier updating of all records and policies, and faster communication between the different parts of the organisation. Staffing levels have improved and better training has been provided. Staff have more time to spend with residents. Informal reminiscence discussions take place, and staff lead daily group activities, including exercises and bingo. A complaints procedure has been introduced, so that residents know that they will be listened to. Decoration has been taking place throughout the building. Residents were consulted about colour schemes, and attractive soft furnishings were provided, to give residents a bright and attractive home. Work has started to make the garden more accessible so that residents will feel safe to enjoy it. An urn has been provided, for safety and convenience, to do away with the need for filling kettles with their trailing flexes. An improved system of kitchen management had been introduced, to ensure good food hygiene. Hold-open devices had been fitted to any door that needs to be kept open, so that no fire doors were propped open, and residents are protected from potential harm. Thermostatic controls have been fitted to hot water taps in residents’ private accommodation, to avoid risk of scalding. What they could do better: The new owners are commended for the improvements they have introduced, and plans that are being made. The following should also be considered. More frequent staff attention should be given to residents in the lounge, outside of the group activities that are provided, to maintain their interest and engagement. An accessible toilet, within easy reach of the lounge and dining room, would be helpful, as some residents have to go some distance to their own room when they need to use a toilet. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 7 Dining chairs with arms for support should be available for residents who need one, for their safety and comfort. Clean clothes should not be stored openly in the laundry, to avoid any risk of cross contamination. A risk assessment was needed to ensure that control measures are in place when an upstairs window is required to be open wide, so that staff are aware of the conditions needed to maintain safety. A risk assessment is also needed to record assessment of any resident’s competence to look after their own medication, to ensure that they are safe to do this. 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. The summary of this inspection report can be made available in other formats on request. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 8 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 Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3 Quality in this outcome area is good. Clear information about the home is made available, and the service is offered appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and Service Users’ Guide which can be updated as necessary and printed on request. The home may wish to consider adding photographs and making the service user guide available on audiotape in addition to the written version. When an enquiry is received, a brochure and Service Users’ Guide are sent. Visits from prospective residents and their families are welcomed. The most recent inspection report was on display in the entrance hall, along with a copy of the National Minimum Standards for care homes for older people. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 10 The home has a pre-admission assessment form that is designed to ensure that enough information is gathered to base a judgement. The files of two recently admitted residents were examined. The Manager had met with them in order to complete this assessment, and gathered enough information to plan for their care at Beechmount. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. Care given and systems of recording are good, with the involvement of residents and their representatives. Administration of medication is safe and reliable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans of four residents were examined. All had their ‘Resident Assessment form’ completed, with care details recorded for each part of the day, so that staff know the residents’ preferred routines and the help that they need. Care plan reviews had been conducted by Team Leaders. Relatives had been involved, and the resident had signed the records. Of the seven surveys returned by relatives, all said that that the support and care that had been agreed was always given. Some personal history was included, and some social interests and former life skills. ‘Residents’ Activities Preference’ were recorded, though these would benefit from further development. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 12 Residents’ vulnerability to falling and to pressure areas is assessed. Records of any falls are sent to the local falls register. Moving and Handling assessments are carried out, with advice to staff on any equipment needed. Needs of people with dementia were recognised, for instance, ‘staff must speak quietly to her while doing personal care, tell her what you are doing’, and included the importance of eye contact and non-verbal communication. Records were kept of visits by doctors, District Nurses and Community Psychiatric Nurses. One CPN who had visited a recently admitted resident recorded that they were pleased with how she had settled in, and asked staff to encourage her to have her hair done and that she likes to wear lipstick. This resident was seen during the inspection to have a well cared for appearance. Another resident had been admitted with a leg ulcer, which had now healed with regular visits by DNs, and proper care and medication provided at Beechmount. The home has a suitable policy and procedure for the safe receipt, administration, recording and storage of medication, introduced by the new owners. The Medication Administration Records were seen to be kept properly, with sample signatures used by the staff, and photos of the residents to ensure correct identification. An Anti-coagulant record was kept on behalf of a resident whose medication needed consistent checking. Controlled Drugs were checked and found to be properly kept and recorded. In a survey returned to the CSCI, a staff member said that the early morning routine was well structured to provide breakfast and medication for those who need pain relief, giving it time to work. One resident is currently looking after their own medication. It is recommended that a risk assessment be recorded periodically, to consider their competence to do this safely. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. The staff have a growing understanding of residents’ social needs. The meals are good, providing choice and variety. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Resident’s preferred routines had been discussed with them and recorded in their care plans. Examples include – ‘prefers breakfast on a tray while sitting up in bed’; ‘enjoys dusting and keeping her room tidy’. Some were not so specific. One included instructions to staff to remind the person to join in activities, although they had specified that they prefer individual occupation. Good practice was observed, with staff showing interest in residents’ personal histories, and planning a variety of activities for the future. An outside activities organiser is engaged weekly to enable residents to enjoy crafts and reminiscence. Some residents thoroughly enjoy bingo, and others can join in with help. Staff said that word games are popular. A white-board would help make these work better for the whole group. The residents would benefit from a development of this social provision. With the good work that has begun on gathering residents’ personal histories, Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 14 information about residents’ individual skills and interests is emerging, which could inform staff as to individual activities and contacts with community associations that would be enjoyed by residents. During this inspection eight residents were sitting in the lounge. An exercise group was held in the early afternoon. Following this, the television was on but no resident was taking any notice - they were listening to two residents who were talking to each other, and watching the window-cleaner at work. Relatives said in surveys; ‘Some residents (including my mother) need more conversation/stimulation.’ ‘Entertainment (should be) for the age group – not radio one all day.’ The residents using the lounge did not all enjoy the same music, as some said they like the old favourites, and others said they prefer light classics. They would benefit by having support to provide a continuing variety, responding to ideas or requests. Residents may have lunch in their room, but most came to the dining room. Alternatives were offered, and one resident had a cheese omelette instead of the fish, chips and peas that were the popular Friday meal. Low sugar diets are provided. Choice is also available at teatime, and small tins of soup always available. Residents said they were pleased with their food, - ‘I even get a fruit allowance!’ said one resident who stays in their room. Fruit was freely available in the dining room. Records are kept of food eaten. The cook came to the dining room after the first course, to see if residents were managing their food and enjoying it. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. Residents are protected by sound policies and staff awareness. This judgement has been made using available evidence including a visit to this service. EVIDENCE: South West Residential Homes Ltd have provided a complaints procedure. It is displayed in the entrance hall, included in information given to new residents, and blank forms are also available in the entrance hall. Neither the home nor the CSCI had received any complaints. The Manager said that she has been instructed to keep a log of any minor concerns, such as an item going missing from the laundry. This way she can demonstrate any action taken in response, and see any patterns that might emerge. The management team have demonstrated that they can deal properly with any allegation of abuse within the home. The home’s staff have received training in the Protection of Vulnerable Adults procedure and have access to locally issued policies and procedures in relation to Adult protection. This means staff would have information available about what to do to protect service users in case of an allegation of abuse. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,24,26 Quality in this outcome area is good. Work is in progress to make Beechmount a safe and attractive home for the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Home owner has commissioned surveyors to assess the structural work needed. They are drawing up a schedule of works, including necessary work on the roof, windows and fire escapes. A maintenance worker is employed, and is on duty at Beechmount every Monday to carry out checks and routine maintenance, and is available on other days of the week for redecorating rooms. He has decorated six bedrooms since February, and has instructions to do all of them. A resident said that she had been asked what colour she would like her room to be painted. Most attractive embroidered soft furnishings had been bought for her. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 17 Best practice is being considered with regard to making the house more suitable and enabling for residents with dementia, for instance plain carpets, and care with colour schemes. Signs and pictures could also be considered, to help people know where they are. There is a small bathroom with a hoist, and an accessible shower, giving choice to residents in their bathing arrangements. There was not an accessible toilet for people with physical disabilities. Residents who need to be hoisted return to their bedrooms, where they may use a commode. Most bedrooms are en suite, but not all residents can use these facilities. Some bedroom doors were fitted with suitable locks, but some were not. The locks, which are in place, lock with a knob from the inside so that residents may have privacy without danger of locking themselves in, which is good. During the inspection one was found to have been locked from the outside without a key, which means that it must be faulty. Staff need to carry a master key to gain access to any room in an emergency. Thermostatic controls have been fitted to hot water taps in residents’ private accommodation, to avoid risk of scalding. The laundry is small, and clean clothes were collected in open baskets on shelves, which poses a potential risk of cross contamination. The cook was very pleased that an urn has been provided, to do away with the need for filling kettles, with their training flexes. She has implemented the ‘Safer Food, Better Business’ system of kitchen management, to ensure good food hygiene. New waste bins had been provided. The house was clean and sweet smelling throughout. Staff and visitors paid tribute to the good teamwork and efficacy of the domestic staff. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. Residents have confidence in the staff who care for them. Recruitment practice is good and training is provided to ensure that staff are competent as well as caring. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A written rota is displayed, showing that a Team Leader is on duty between 7.15 and 9.30pm, with staff changeover at 2.30pm. They are supported by two care staff on the morning shift, one in the afternoon, and two again from 4pm. The Manager is additional to this, generally working Monday to Friday. At night there is one waking carer, and one on sleeping in duty. The cook works from 8am till 2pm each day, and there are two cleaners working 8am till 1pm seven days per week. This is seen to be sufficient to meet the needs of residents. The development of individual activities and expected increase in occupancy may affect the numbers of care staff needed. There is an expectation that staff will work towards qualifications. Of the twelve care staff, seven have achieved the nationally recognised qualification known as National Vocational Qualification level 2 in Care, or an equivalent qualification, and one is working towards it. Five staff returned surveys to the CSCI. All said that they consider they have enough support to do their job well. They appreciated the improvements that Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 19 have been introduced, and appreciate being provided with training and paid for their time. During the inspection staff also said that they work together well as a team, can rely on each other, and are happy to stand in for each other if necessary. The files of two recently recruited staff were examined. Written references and Criminal Records Bureau clearances had been obtained, as required for the protection of residents. The home has its own checklist for the induction of new staff. This covers basic training in good care practice and health and safety, as well as the home’s own systems. Staff then move on to the Skills for Care induction training unless they already have achieved NVQ2 or equivalent. Each staff member has a training chart, and the Manager keeps two charts for the home, one showing in-house training, and one to show external training courses. These show that a comprehensive programme of training is provided. Training on care of people with Dementia was booked for later in the month of this inspection, with Age Concern. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38 Quality in this outcome area is good. The management team have a clear plan and are developing the home in the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs Emma Perkins registered as Manager of Beechmount with the CSCI in April 2007. She has worked in OP care homes for over six years, starting as a care assistant and then becoming a senior carer. In July 2006 she was appointed deputy manager at Beechmount, and since the registered manager left in September she acted as manager. Mrs Perkins has achieved the nationally recognised qualification known as National Vocational Qualification level 3 in Care. She is working towards level 4, after which she will undertake the Registered Managers’ Award. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 21 A resident described Mrs Perkins as ‘lovely’, and said that ‘she listens to you’, and ‘you only have to ask and it will be done’. In a staff survey, an opinion was given that, ‘Our manager is forward thinking…happy to hear staff comments…ready to adopt new ideas.’ Mr Alan Beale is the Responsible Individual for South West Residential Homes Ltd. He has demonstrated his ability to provide the knowledge and resources to bring about the improvements required to provide a good and safe service at Beechmount. Mr Beale has appointed a Group Quality Manager to support Beechmount and the other homes in his control. She is providing support and supervision to the Manager with regard to care practices in the home. The Manager of another home within the group has particular knowledge of good practice in care for people with dementia, and is expected to give advice and guidance in the development of the service. There is not a structured quality assurance system, but feedback has been gathered from residents informally, through questionnaires and a residents’ meeting. The Manager has charts for checking that care plan reviews are up to date, and charts to show staff training achievements. A computer system has been introduced, for Beechmount and all the South West Residential Care Home establishments. This will enable easier updating of all records and policies, and faster communication between the different parts of the organisation. The fire precaution system had been serviced on 02/03/07. Professional Fire training was booked for later in the week of this inspection, following in-house training that had been undertaken in April 2007. The Manager is a qualified Moving and Handling trainer, and had provided training to staff within the home, with certificates supplied. One of the upstairs windows is required to be open wide. A risk assessment should be drawn up to ensure that control measures are in place, so that staff are aware of the conditions needed to maintain safety. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 2 X X 3 X 2 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 23 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. 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. 2. 3. 4. 5. 6. 7. Refer to Standard OP9 OP12 OP20 OP21 OP24 OP26 OP38 Good Practice Recommendations A risk assessment should be recorded with respect to residents’ safety in handling their own medication. More frequent staff attention should be given to residents in the lounge to maintain their interest and engagement. Dining chairs with arms for support should be provided. An accessible toilet should be provided close to the lounge. All bedroom doors should be fitted with a suitable lock. Clean clothes should not be stored openly in the laundry, to avoid any risk of cross contamination. A risk assessment including control measures should be in place with respect to the open upstairs window. Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Beechmount Residential Home DS0000069116.V337947.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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