Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Beechwood House Front Street Earsdon Whitley Bay Tyne & Wear NE25 9JU The quality rating for this care home is: The rating was made on: one star adequate service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Allan Helmrich Date: 1 3 1 0 2 0 0 8 Information about the care home
Name of care home: Address: Beechwood House Front Street Earsdon Whitley Bay Tyne & Wear NE25 9JU 01912524840 F/P01912524840 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Redcote Homes Limited care home 27 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 27 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category - Code OP, maximum number of places: 27 The maximum number of service users who can be accommodated is 27. Date of last inspection Brief description of the care home Beechwood House is a residential care home for older people situated in the village of Earsdon. There are two public houses in the village and a local bus service. Accommodation is provided over two floors. Access to the first floor is via a passenger lift. There are 27 bedrooms, two of which have en suite toilet and hand basin. Toilets are located throughout the building and commodes are provided in bedrooms overnight. There are five bathrooms, three of which have assisted baths and one Care Homes for Older People
Page 2 of 9 incorporates a roll in shower. There is a mobile hoist available in the home. Beechwood House has a large lounge and conservatory on the ground floor and two dining rooms. The home is pleasantly decorated and furnished throughout and there is a private garden to the rear. Nursing care is not provided at Beechwood House. The cost of services provided by Beechwood House range from #370 to #410 per week. Information, including inspection reports, is provided for service users to enable them to make a decision about moving to Beechwood House. Care Homes for Older People Page 3 of 9 What we found:
The assessment of residents needs tend to be tick lists that do not provide any meaningful information to inform a care plan. Most information is gleaned from daily records or letters from other professionals involved in their care. There was no evidence that residents receive written confirmation that there care needs can be met. And despite a large amount of information within the files from visiting and involved professionals, little headway or improvement has been made in planning peoples care with them in a meaningful way. People are well cared for but little attention is paid to recording weights or other important information to help develop preventative strategies or effective guidance to provide person centered care. However staff are kind and caring and there is a natural rapport between residents and staff. Residents were genuinely delighted to see a member of staff after returning from holiday and she chatted warmly with people about day to day things and what she did on holiday. Although there are routines in the home, staff did not rush people and were helpful and responsive. They knocked on doors and spoke respectfully to people. Requirements around medications has improved but medication rounds are time consuming. Menus are not available in either picture/photo or written format to help people make choices and there are no accurate records of food intake. However mealtimes are unhurried and residents are shown what is available by staff. One member of staff could be heard from the kitchen telling residents what was for dinner and asking them what they wanted from the available choice. The home provides care for many people who have short term memory problems and can become disorientated but there are no way finding clues that would help people find there way around the home. Regulation 26 visits conducted by the owners continue to be variable both in content and the number of times they are carried out. What the care home does well: What they could do better:
Care plans should be improved to ensure there is meaningful information to inform care staff in the provision of person centered support. Care Homes for Older People
Page 4 of 9 Whenever possible residents should be involved in the production and maintenance of care planning and this should be confirmed in writing. Risk assessment information should be more detailed and include detailed risk management plans. A record of peoples weights and other important information to help develop preventative strategies should be in place. A review of timing of medications could help to ensure the efficiency of medications and be less time consuming. Menus should be available in either picture/photo or written format to help people make choices. Also there should be a system to accurately record food intake. Review the benefit for people with short term memory problems in providing way finding clues that would help them find their way around the home. Regulation 26 visits must be conducted on a monthly basis and should include an assessment of the current standards of care provided. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14(1) The manager must ensure that a full assessment of need is conducted before a place is offered. This will limit the possibility of accepting a referral whose needs can not be met. 31/07/2008 2 7 15(1) The manager must produce a 30/09/2008 comprehensive case record with care plans that instruct staff in the provision of care for each resident. These records must identify that health assessments and risks associated with daily living are produced and that a recent photograph of the individual is in place. This requirement is ongoing from the last inspection. The manager must ensure 31/07/2008 that appropriate policies and procedures related to medications are in place and that these are followed. All medicines must be recorded into the home, limited life medicines must be dated when opened and a policy for the use of `homely? medicines must be in place. The manager must ensure the home is safe and 31/07/2008 3 9 13(2) 4 19 23 Care Homes for Older People Page 6 of 9 comfortable for residents; Ensure all doors close onto their rebates to keep residents safe from risks of fire. Ensure bath water temperatures are regularly checked and maintained within the safe comfortable range of 37-43(c. 5 31 CSA Ensure an appropriate certificate of registration is displayed in the home. 31/07/2008 6 33 26 The proprietors must in 31/07/2008 accordance with this regulation, visit the home each month and prepare a report on their findings which is then available for inspection. Effective quality assurance 30/09/2008 and monitoring systems should be developed. A copy of quality assurance reports should be forwarded to CSCI This requirement is outstanding from previous inspections. The manager must ensure 31/07/2008 that any monies held for residents can be audited, that two signatures evidence each transaction and that receipts are kept. 7 33 24(1) (a) (b) 8 35 17(2) Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
