Inspection on 04/10/05 for Beechwood House

This inspection was carried out on 4th October 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 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 19/06/08

Beechwood House 22/05/07

Beechwood House 25/07/06

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Beechwood House Front Street Earsdon Whitley Bay NE25 9JU Lead Inspector Jackie Burke Announced 4 October 2005 09:30 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. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beechwood House Address Front Street Earsdon Whitley Bay NE25 9JU 0191 252 4840 0191 252 4840 n/a Redcote Homes Limited 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) Mrs Bernadette Bell CRH 28 Category(ies) of OP Old Age registration, with number of places Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The increase from 27 to 28 beds is to change one room to double usage. This only applies for use by married or partnership couples sharing bedroom 10. Date of last inspection 19 April 2005 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 which is served by a local bus service. Accomodation is provided over two floors and access to the first floor is via a passenger lift. There are 27 bedrooms, none of which are en suite. 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 incorportes a roll in shower., One bathroom is used as a storage area and this must be cleared and assisted bathing facilities provided to improve choice for residents. 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. In addition there is a smoking area on the ground floor and a quiet lounge on the first floor. The home is pleasantly decorated and furnished throughout and there is a private garden to the rear. There are plans under consideration to extend the size of the home using existing buildings adjacent to Beechwood House in order to provide care for a further nine residents if planning is approved. Nursing care is not provided at Beechwood House Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of an announced inspection, which took place on 4th October 2005, the inspection took place over 5 ½ hours and included a tour of the building. The inspector spoke with four visitors, ten residents and five staff during the inspection. Comment cards were returned by 15 residents and 17 relatives/carers. The inspection included an additional visit on the 13th October to discuss inspection findings and to investigate a complaint. What the service does well: What has improved since the last inspection? Service users are now provided with terms and conditions as they move into Beechwood House. Radiator covers are provided throughout most of the building and remaining radiators in communal areas have been measured. Fresh fruit is available on request and a selection of chopped fruit are offered to service users during afternoon tea break Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 6 Handrails have been provided to enable access in better weather to the garden for residents. Since the last inspection an activities coordinator has been appointed and the opportunity for outings and the range of activities in house has improved A new lift has been installed in the home What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 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 Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 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) 2 & 3 Each service user has a written contract /statement of terms and conditions within the home. Needs are assessed and assurances given that needs will be met before service user’s move into Beechwood House. EVIDENCE: Discussion with the manager following the inspection confirmed that the owner has prepared written contracts and these are given to new service users as they move into Beechwood House. Care files examined confirm that assessments are done before service users move into Beechwood House. In some cases the assessment is undertaken by a care manager and supplemented by the manager’s assessment of need, in the case of privately funding individuals the assessment is undertaken by the manager Mrs Bell. Mrs Bell is an experienced practitioner and ensures that needs can be met in Beechwood House before an offer of a place is made. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 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) 7-10 Health, personal and social care needs are set out in an individual care plan for each service user Health care needs are met There is a medication policy and procedure in place and staff administering medication are provided with appropriate training. Service users are treated with respect and privacy is upheld. EVIDENCE: Four case files were examined during this inspection and the overall standard of care files was good. Care plans and daily recording sheets provide evidence that health and personal care needs are being addressed. Family members spoken to during this inspection expressed concern that their relative had been sent to hospital unaccompanied following an accident which took place over a weekend, subsequent discussion with the deputy and the manager indicates that an action plan is now in place to prevent this occurring again. Senior staff have agreed to participate in an on call rota for out of hours emergencies and this will be monitored to ensure that out of hours service provision is managed effectively. On the day of inspection the optician was in the home testing the Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 10 vision of a number of residents and records confirm that GP, District Nurse, Chiropodist and other health care professionals are involved in the primary care of residents in Beechwood House. An assessment has been requested and CPN involvement arranged for one resident whose behaviour has changed and this is recorded in the care files, an action plan is to be developed relating to this resident whose first language is not English in order that effective communication can continue to be facilitated between him and the staff and fellow residents. Relatives consulted expressed concern that hospital appointment letters had not been opened on behalf of one resident and this system has been amended to ensure that private post is forwarded to residents unopened however medical appointments will be actioned if residents and family members agree to staff opening specific items of mail. There is a medication policy and procedure in place at Beechwood House and checks undertaken of controlled medication during the inspection confirmed that records are accurately maintained and medicines are stored appropriately. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12-15 Service users have expressed concern that there is not a range of suitable activities available at Beechwood House. Contacts with the local community and with friends and families are encouraged. Service users are enabled to exercise choices within their lives There is a varied balanced diet provided at Beechwood House. EVIDENCE: An activities coordinator has been appointed at Beechwood House and the range of activities available has improved since her appointment. Trips to Boundary Mills and walks around Earsdon village have been introduced and a theatre trip is planned. Arts and craft activities have been introduced and armchair exercise and games provided in house. Unfortunately the activities coordinator has very recently resigned from her post in order to take up a post elsewhere and the post of activities coordinator will be advertised and another coordinator appointed. In the meantime service users must be consulted as to the range of activities they wish to engage in. Visitors were observed during the day and conversations with service users and their visitors confirmed that visitors are welcomed to Beechwood House. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 12 Residents in Beechwood House have a pet cat living in the home, who provides companionship and affection to a number of residents. Meals are provided on the premises and are cooked fresh daily, on the day of inspection a choice of sausage casserole or steak pie was provided with potatoes, vegetables and a dessert of trifle or banana custard. The food was hot and portions of an ample size and served according to individual preference. Breakfast is offered at times to suit individual tastes and a choice of cooked breakfast or cereal and toast is on offer. Choices are offered at tea time and supper time and tea and coffee is offered during the day and evening. Fresh fruit is available on request and in the afternoon portions of fruit and cream are offered Kitchen staff are experienced and have received appropriate training in nutrition and food hygiene. Special dietary requirements may be catered for including diabetic diets and low fat options for people with high cholesterol levels. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 &18 There is a complaints policy at Beechwood House; which is to be reviewed and all comments and complaints recorded. Service users are protected from abuse. EVIDENCE: There is a complaints policy at Beechwood House and since the last inspection no complaints have been recorded; however following the inspection an anonymous complaint was received which indicated that a verbal complaint had been made but not recorded, this was discussed with the manager. Visitors spoken to on the day of inspection indicated that they had spoken to the deputy manager to complain about the treatment of their relative following a fall however this had not been recorded in the complaints book. The manager agreed to review the complaints procedure and gave assurances that all complaints whether verbal or written will be recorded and responded to within timescales indicated. Discussion also took place of the importance of recording positive comments from residents and visitors and of giving positive feedback to staff of comments made. Residents spoken to stated that they would speak to the manager if they had a complaint. The deputy manager and manager both demonstrated an understanding of the protection of vulnerable adults; staff spoken to during the inspection were aware of the rights of individuals and the vulnerability of the people in their care. POVA training has been provided to management and further POVA training is planned for staff members. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 ,21 & 26 Service users live in a safe well maintained environment The home provides sufficient lavatories but has less bathing facilities than recommended The home is clean pleasant and hygienic EVIDENCE: Radiator covers have now been fitted in the majority of the home and remaining radiators have been measured to comply with this requirement. The door to the conservatory has been replaced Handrails have been fitted to the garden to enable residents to go outside. The lift has been replaced and is now in full working order. The home is clean and décor throughout the building is pleasant and the home is odour free. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 15 There are five bathrooms in Beechwood house one of which is a combined bathroom with hoist and shower room. Two bathrooms provide assisted bathing but on the first floor a bathroom is used as a storage area. In order to provide greater choice for service users this bathroom should be cleared and suitable assisted bathing facilities provided. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 16 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) 27,29,30. Service users needs are currently met by numbers and skill mix of staff however staff losses must be monitored Service users are protected by the homes recruitment policy and practices Staff are trained and competent to do their jobs EVIDENCE: The manager and deputy manager have a familial connection and the newly appointed senior care officer is the manager’s daughter and the deputy manager’s partner. The manager is aware of the implications for the management of the home in that family connections may potentially compromise practice and has an action plan in place whereby in the event of any disciplinary issues arising within the home an external manager will be brought in to manage the conflict and to investigate accordingly. The management of the home should be monitored to ensure that relationships are maintained in the best interests of service users. The management team have developed plans to introduce a system of a duty senior on call rota to ensure that events which arise out of hours are effectively managed by the senior team. Four staff members have been recruited from Beechwood House to a new care home, which is due to open nearby and this will have implications for staffing levels and qualified staff numbers at Beechwood House. The manager has recruited staff to fill the vacancies using the local press and job centre and is waiting for references and Criminal Record Bureau checks to Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 17 be returned for external recruits. One senior care post is to be filled by an existing member of staff. There is a commitment to training and development within Beechwood House. The majority of care staff are qualified to NVQ level 2 or above and there are a number of staff who are pursuing further NVQ level awards. The deputy is engaged in NVQ level 4 and is keen to access any further training, which may be available. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 18 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) 33,35 & 38 The home is run in the best interests of service users Service users financial interests are safeguarded The health, safety & welfare of service users and staff are promoted and protected. EVIDENCE: The manager is an experienced and competent practitioner who is qualified to NVQ level 4 and has achieved the Registered Managers Award. There is a commitment in Beechwood House to training and development for staff and an awareness that recent staff changes will inevitably have an impact on service users and the staff team. The manager is committed to developing new staff to meet the needs of service users. Policies relating to the financial interests of service users are in place and records relating to individuals financial transactions maintained. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 19 Policies and procedures are in place to safeguard the well being of people who live in the home and the health and safety of service users is maintained by the provision of mandatory training, risk assessment and record keeping. Portable appliance testing is overdue however the owner has arranged for an electrician to undertake this on a contractual basis. Fire records confirm that equipment checks are up to date and testing is undertaken on a regular basis. The lift has been replaced and maintenance contract provided. Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 20 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 x 3 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 3 x 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 3 x 3 x 3 x x 3 Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 21 Yes 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. 2. Standard OP25 OP12 Regulation 13(4) (a) (c) 16(1)(2) m,n 22 (3) (5) (8) Requirement Radiator covers should be provided throughout the building Work must continue to improve the range of activities on offer and to enable people to exercise choice and control The complaints policy should be reviewed and all complaints should be recorded and investigated within the timescales. Timescale for action 1/12/05 1/12/05 3. OP16 31/1/06 4. 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 OP27 Good Practice Recommendations Staff movement should be monitored by management and the relationships between staff should be managed to ensure the best interests of service users are upheld at all times. Systems introduced to manage post on behalf of residents, to operate an on call duty rota and to manage staffing levels should be monitored and reviewed accordingly. The first floor bathroom currently used for storage should be cleared and used as an additional bathroom. B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 22 2. 3. OP31 OP21 Beechwood House Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland NE23 6UR 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 Beechwood House B53-B03 S61572 Beechwood House V240088 041005 Stage 4.doc Version 1.40 Page 24 - 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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