Inspection on 19/06/08 for Beechwood House

This inspection was carried out on 19th June 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beechwood House 06/10/09

Beechwood House 14/07/09

Beechwood House 13/10/08

Beechwood House 22/05/07

Beechwood House 25/07/06

Beechwood House 04/10/05

Beechwood House 22/09/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOMES FOR OLDER PEOPLE Beechwood House Front Street Earsdon Whitley Bay Tyne & Wear NE25 9JU Lead Inspector Allan Helmrich Key Unannounced Inspection 19th June 2008 9:00 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 Beechwood House DS0000061572.V366796.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. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood House Address Front Street Earsdon Whitley Bay Tyne & Wear NE25 9JU 0191 252 4840 F/P 0191 252 4840 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) Redcote Homes Limited Irene Elizabeth McKee Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Beechwood House DS0000061572.V366796.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 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. 22nd May 2007 2. Date of last inspection Brief Description of the Service: 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 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. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. Reason for the inspection This is the homes annual unannounced key inspection and follows the inspection last year on 22 May. The home was given an adequate rating then and following that inspection the home was required to provide action plans outlining how issues that were identified would be addressed. A subsequent random inspection was carried out on 7 August 2007 to determine whether the actions outlined in the plan submitted had been met. The Visit: The site visit was unannounced and was undertaken by the link inspector for the service. Information during the site visit was collected in one day. During the visit we: • • • • • • • Talked with people who use the service and their visitors, Talked with the registered manager and staff on duty, Looked at information about the people who use the service and how well their needs are met, Looked at case records for five residents and other records which must be kept, including medication, Checked that staff had the knowledge, skills and training to meet the needs of the people they care for, Looked around the building to assess if it was clean, safe and comfortable, Checked what improvements had been made since the last visit. Questionnaires were provided to the home to distribute to residents, their visitors and professional people who come into the home. Returns were received from thirteen people. Information from these sources is used in the production of this report. What the service does well: Beechwood House provides a caring homely environment in a pleasant rural setting. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 6 Everyone spoken to enjoys living in this home and any complaints are taken seriously and addressed. Positive comments in the returned questionnaires from residents and their visitors included; “Very pleasant daily pleasures”. “ They look after me very well”. “All staff are friendly and go out of their way to see residents are well looked after and happy”. What has improved since the last inspection? What they could do better: The information collected before a place is offered should be improved to ensure equality and diversity issues are identified. Information such as current social interests, hobbies, religious and cultural needs should be identified. This ensures individual needs are identified that can then be addressed. From this initial information, care plans should be developed to be more person centred. Also specific health assessments should be conducted and appropriate care plans developed for the wellbeing of the individual. Review the home’s medication policies and ensure these are maintained so that residents are protected. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 7 Provide all staff and the manager with appropriate training related to safeguarding of older people. The homeowners should have systems in place to monitor the quality of care provided. And areas for development should be identified with a clear plan outlining how these areas can be improved. 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. Beechwood House DS0000061572.V366796.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 Beechwood House DS0000061572.V366796.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): 3, 6. People who use the service experience adequate quality outcomes in this area. While pre admission assessments are carried these do not consistently contain sufficient information to ensure that needs can be fully met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The case records of two recent admissions showed that while the home uses an assessment form to collect information about the person’s needs before admission, there is no detail of who is involved in the assessment of prospective residents, when or where the assessment was carried out. Information about medication usage, healthcare issues and lifestyle choices, is either missing or not recorded in sufficient detail to enable a comprehensive assessment to be made. This then does not provide a sufficient basis to produce a care plan that meets the needs of the individual. In the two case Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 10 records of recent admissions, no information was obtained regarding; medication usage, history of falls, current mental health, social interests, cultural or religious needs. The assessments of daily living are improving and now have basic details in place to show staff how to care for a specific person needs. But they lack enough detail to fully explore how someone’s needs can be supported in a person centred way. For example, although it was assessed that a resident was at risk of pressure sores and appropriate equipment was provided, staff were not instructed how to care for this person to reduce the risk. The home does not provide care rehabilitation type support to help people to return home but respite care is provided when the home has vacancies. Beechwood House DS0000061572.V366796.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. People who use the service experience adequate quality outcomes in this area. While the health and personal care needs are generally well met, care planning is basic and lacks the necessary detail to ensure the needs of residents are fully met. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Although each person has a plan of care, care planning has not been fully developed to cover a wide range of needs. And plans lack the amount of detail required that would make them accessible as a working tool for staff and provide them with clear guidance about how to meet someone’s needs in a person centred way. Some good information was available about peoples past life and daily needs, but again this has not been developed into specific plans of care to guide individualised care delivery. To promote independence the Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 12 amount of assistance a resident needs to complete a task such as dressing should be identified rather than stated ‘as necessary’. Some case records do not contain a recent photograph to help identify who the person is and prevent errors. And while the home notes the name a resident prefers to be known by, this name is not consistently used in the recording systems. Records contained some healthcare assessments but these need to be more specific and contain details of the care requirements when a need is identified. Residents seen were in good health and their records showed they have met with healthcare professionals when this was deemed necessary. One resident has input from the psychiatric team around behaviour which the service finds challenging and to support staff in identifying triggers to prevent such behaviour happening and offer support to deal with these issues if they occur. The staff team were sensitive to individual’s needs throughout the visit and gave appropriate support to residents. Everyone spoken to during the day stated they were well cared for and that staff show them respect and treat them in a dignified way. Comments in the returned questionnaires praised the staff team. A resident commented ‘the staff look after me very well’ and a visitor made comment that all staff are friendly and go out of their way to see residents are well looked after and happy. The manager stated that she has received some external support to improve the standard of care planning in the home and that further assistance is expected. This must be developed to include a more person centred care plan, initial health monitoring and risk assessment. This will ensure that each care plan is designed to provide an individualised care package for each resident. The medication process in the home does not ensure the safety of the residents. Not all medicines are recorded into the home, medicines with a limited shelf life are not dated when opened and a clear policy about the use of homely medicines was not demonstrated to ensure residents’ health is maintained safely. Senior staff have recently had Safe Handling of Medication training from the Primary Care Trust. Beechwood House DS0000061572.V366796.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. People who use the service experience good quality outcomes in this area. Daily life is flexible around the needs of people using the service and opportunities to take part in social activities has improved. This enables people to continue to exercise choice and control over their lives. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The new manager has developed a limited activities programme based on the general needs of older people. A Church of England minister holds a service for all interested residents each month and a Roman Catholic visitor comes to the home for one resident. The manager is confident that all beliefs are catered for. Someone visits the home each month to stimulate residents with exercise to music, there is a monthly film show and the hairdresser visits each week. Staff and residents confirmed that short walks in the local area take place when the weather is good and that staff do residents’ nails and play games such as ‘sticky ball’ and throwing rings. Residents’ involvement in activities is recorded. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 14 One resident stated she enjoys going for a walk in the village with staff when the weather is good and also enjoys bingo but mostly she chooses to stay in her room reading and watching television. One visitor stated she is always made welcome when she visits and that she has seen activities taking place. However several responses to a questionnaire identified activities as an area for improvement. The home maintains links with the residents in the village and local facilities are used. A staff member stated she recently supported two residents to visit the local pub for lunch and a drink. The manager has had one meeting with the residents since her appointment and hopes to have another soon. Also she hopes to develop links with residents and their families to promote choice in the home. During the lunchtime meal tables were set with clean linen cloths and table centre decorations were used. Sufficient staff were in place to support those residents who needed it and everyone spoken to stated they enjoyed their meal. The meal was of three courses with a choice of main course and sweet. The cook stated that currently no one has any specific cultural needs and should anyone not like the choices offered other choices could be provided. At this mealtime the only requirement was for a soft diet for some residents. Liquid refreshments are offered throughout the day and fresh fruit was available in the large lounge. This helps people to stay hydrated and add much needed vitamins and minerals to their diet. The cook stated she replaces the fruit regularly. Beechwood House DS0000061572.V366796.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. People who use the service experience adequate quality outcomes in this area. Residents can be sure there complaints are taken seriously and addressed but staff awareness of safeguarding procedures should be improved to protect residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: In the entrance hall to the home there is a copy of the home’s complaints procedure. There is a log to record concerns and suggestions and information leaflets produced by the local authority giving details of contacts for any safeguarding issues. While no complaints have been reported directly to CSCI about the quality of care provided by the service, the manager has recorded several complaints made directly to her or the staff team. These were all well recorded and dealt with to the satisfaction of the complainants. Residents and a visitor spoken to stated they would be happy to take any complaints they had to staff. Most of those who completed a questionnaire were aware of the complaints process, they new who to speak to and would be happy to inform staff should they have a complaint. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 16 Safeguarding information was difficult to find in the home, staff had not been shown this information and had not been provided with training related to the protection of vulnerable people. Lack of knowledge about what abuse is and what to do when it is suspected, may put people at risk of harm. However, the manager stated this is organised to take place in the near future and this was recorded on the home’s training schedule. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 17 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, 26. People who use the service experience adequate quality outcomes in this area. Although the home is currently being improved it was found to be reasonably safe and clean We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home’s environment is currently being improved. There is a new larger conservatory being constructed and each bedroom is being redecorated and fitted with new curtains. There are new carpets in the communal areas and some bedrooms have new carpets, beds and headboards. The home appeared slightly cramped as furniture from the conservatory was being used in the main lounge, the small lounge was being used for storage Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 18 and some bedrooms were filled with furniture from another bedroom while carpet fitting was taking place. Residents spoken to were pragmatic about the disruption caused by the building works. One resident commented that she was involved in choosing her new decorations. Two bedroom doors did not close fully onto the rebate to ensure residents are safe in the event of a fire. In one bathroom the temperature of the water from the bath tap exceeded the safe working temperature of 43°c. And in another bathroom the water was found to be well below a comfortable temperature for bathing. Those bedrooms that were redecorated were pleasant and homely with some items of personal furniture and memorabilia. One resident spoken to in their room stated they were very content and praised the home for providing her with a settee and a chair to allow her to entertain her guests in comfort. Given that refurbishment works are ongoing the home was safe and clean and no strong odours were noted. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 19 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. People who use the service experience adequate quality outcomes in this area. Good recruitment practices are followed and ensure skilled staff are employed in sufficient numbers to meet individual needs. But lack of training about safeguarding people from abuse may put people at risk of harm. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: On the days of inspection there were three care staff and the manager on duty, one cleaner and two kitchen staff. Shifts are covered: 8am-3pm Manager Senior Care Two care staff 3-10pm Senior Care Two care staff 10pm-8am Two care staff The staff rota confirmed this level of staffing is regularly achieved. Additional staff are provided, this is usually to cover for hospital visits. The home are awaiting a CRB check for one carer before she starts work and there Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 20 is a part time weekend kitchen assistant required for the home to reach full establishment. No staff under 21 years old are currently employed. There is a commitment to training and development within Beechwood House and the manager has undertaken a training audit to identify gaps in staff skills. She has then produced a training schedule to ensure staff are trained to meet the needs of older people. A National Vocational Qualification in care has been obtained by 75 of the staff team and the other 25 are working towards this qualification. Although all staff currently working in the home either have or are working towards a NVQ in care, a foundation training manual is not available for new starters. From reviewing staff files it was demonstrated that new staff are only employed after appropriate checks are conducted. This limits the possibility of unsuitable people being employed to work with vulnerable adults. However, new staff are not provided with a code of conduct and 1-1 meetings with the manager had not been recorded. 1-1 meetings with other staff were seen but it is important that in the early weeks of employment a greater level of supervision is recorded. Also staff files contain an audit sheet but these were not fully utilised. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 21 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, 38. People who use the service experience adequate quality outcomes in this area. Someone who is keen to improve the service provided, for the benefit of the residents, manages Beechwood House. However the homes financial systems should be improved and although health and safety is promoted, improvements could be made to ensure residents’ wellbeing is maintained. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The manager has worked in a senior capacity in homes for older people for several years and has managed this home since August 2007. She has recently Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 22 been registered with the Commission for Social Care Inspection but has not yet replaced the certificate of registration with the most recent version. The manager is working to improve care standards in the home and has been provided with some external help where her competencies need support. Care plans and systems are being improved although much work is still to do to ensure residents are provided with the care and support they need. The manager could not demonstrate that the proprietors of the home had done their regulatory visits or provided her with their assessment of how the home is being managed. The home does not at this time have a formal quality reviewing system to determine the standards of care provided. However improvements to the fabric of the home are taking place and some improvements to the standards of care detailed at the last inspection are observed. The manager has recently used questionnaires to obtain the views of visitors to the home but these have not been analysed yet. A copy of the report from the home’s last inspection was available in the entrance hallway of the home for anyone to read. The home provides a service to hold small sums of money for those residents who require it. A log is kept of transactions but was not able to be audited fully. Two people should countersign all transactions and a regular audit should be conducted to ensure residents are protected from financial abuse. Some systems in the home to monitor cleanliness and safety were in place and maintenance records showed that gas, electrical and mechanical systems in the home are regularly checked. However water temperatures checked were not always within the safe comfortable range of 37-43°c. Staff training is being provided related to health and safety and staff have received fire training. Periodic fire checks are done and the manager has done a fire risk assessment of the building. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 23 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 2 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 2 X X 2 Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP3 Regulation 14(1) Requirement Timescale for action 31/07/08 2. OP7 15(1) 3. OP9 13(2) 4. OP19 23 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. The manager must produce a 30/09/08 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 that 31/07/08 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 31/07/08 DS0000061572.V366796.R01.S.doc Version 5.2 Beechwood House Page 25 5. 6. OP31 OP33 CSA 24(1) (a) (b) 7. OP33 26 8. OP35 17(2) home is safe and 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. Ensure an appropriate certificate of registration is displayed in the home. Effective quality assurance 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 proprietors must in accordance with this regulation, visit the home each month and prepare a report on their findings which is then available for inspection. The manager must ensure that any monies held for residents can be audited, that two signatures evidence each transaction and that receipts are kept. 31/07/08 30/09/08 31/07/08 31/07/08 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 OP14 Good Practice Recommendations Review how to provide choice for residents in the home either with regular group meetings or individual recorded conversations with residents and their families. Consider DS0000061572.V366796.R01.S.doc Version 5.2 Page 26 Beechwood House 2. 3. 4. OP18 OP29 OP30 5. 6. OP31 OP38 using a news sheet to inform of events and issues in the home. Ensure that information regarding safeguarding of adults is available to the staff team and that appropriate training is provided. The manager should use the home’s recruitment audit sheet and ensure that all staff are provided with a copy of the GSCC code of conduct. The manager should continue with the staff development programme and ensure that a workbook is available for new staff that meets National Training Organisation standards. The proprietors should consider supporting the manager with appropriate help in care planning and systems in the home until they are operating efficiently. Continue improving the systems that ensure health and safety in the home is promoted. Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Beechwood House DS0000061572.V366796.R01.S.doc Version 5.2 Page 28 - 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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