Inspection on 25/08/05 for Beechwood House Care Home

This inspection was carried out on 25th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Beechwood House Care Home 15/01/07

Beechwood House Care Home 28/02/06

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Beechwood House Retirement Home 60 West Coker Yeovil Somerset BA20 2JA Lead Inspector Teresa Anderson Announced 25 August 2005 10:00hrs 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 Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beechwood House Retirement Home Address 60 West Coker Road Yeovil Somerset BA20 2JA 01935 472793 01935 425723 beechwoodcarehome@btinternet.com Beechwood House Ltd 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 Sandra Jean Barclay Care Home 28 Category(ies) of OP Old age (28) registration, with number of places Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01 March 2005 Brief Description of the Service: Beechwood House provides care and accomodation for up to 28 older people. The home is set back on a main road on the outskirts of Yeovil. Residents living accommodation is arranged on the ground floor with easy access throughout and to the formal and natural gardens. All bedrooms have toilet and hand basin en-suite facilities, and there are ample shared bathing and toilet facilities throughout the home. The home has a two dining rooms, two lounges and two conservatories. The home has a No Smoking policy. There is ample dedicated parking at the front of the home. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place as part of the normal programme of inspection. It started at 10.00am and finished at approximately 4.30pm. During that time the inspector saw the majority of the home, spoke with approximately 12 residents (4 in depth), 4 visitors, the owners, the manager and with 2 members of staff. Records in relation to care planning, safe working practices, recruitment and medication were inspected. The manager and owners completed a preinspection questionnaire and 11 comments cards (from residents and visitors) were received. During the inspection the normal routines of the residents carried on. Some residents were going out and visitors were coming and going. Staff, owners and management were very helpful and efficient at providing all the information requested by the inspector. What the service does well: Residents who wish to move into Beechwood can be assured that preadmission assessments are comprehensive ensuring that the home and staff can meet their needs. Assessments are continuous and provide the basis for sound care planning. Plans are ‘person centred’ and well understood by staff. Residents are treated as individuals, with respect and dignity. Staff try not to make assumptions and ask questions such as ‘would you like me to put your laundry away’ and ‘would you like me to help you to bed?’ Activities take place three times weekly and include quizzes, guess the object and flower arranging. Residents say they enjoy them, particularly when they go out for outings or coffee. On the day of the inspection many residents were taking part in the weekly exercise class. Others were enjoying the garden, watching TV, entertaining visitors or just relaxing. The food at Beechwood is described as ‘excellent’. Meals are prepared on site and there is ample variety and choice. One resident noted the setting is very relaxing and sociable and that the tablecloth and napkins are changed between every meal. This is in keeping with the high standards of décor, decoration, furnishing and ambience of Beechwood. The home is clean, bright and airy throughout. There is a variety of seating areas and this includes areas with ‘comfy sofas’. Sufficient and well trained staff are on duty at all times. They are described as ‘kindly’, ‘discreet’, ‘respectful’ and ‘helpful’. Some residents commented that they are encouraged to maintain their abilities and independence but that staff are always ready to help when needed. The home also practices sound recruitment procedures. The ethos and management systems in the home put residents firmly at the centre of care and the running of the home. The manager and owners are described as ‘helpful’ and ‘co-operative’ and the home as ‘top notch’. The home has an active residents committee which meets three times yearly. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 6 Here residents have a chance to talk about plans for the home to and make their contributions to those plans. Recently, this has resulted in the plans for the ‘informal garden’ being changed to suit residents. One of the roles of the chair is to meet with new residents because ‘its never nice being the new person’. What has improved since the last inspection? 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 Retirement Home D54 D06_s64801_beechwood_v231083_250805 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 Retirement Home D54 D06_s64801_beechwood_v231083_250805 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) 3 Residents benefit from comprehensive pre-admission assessments and ongoing assessments which ensure the home and staff can meet their needs. EVIDENCE: All residents are comprehensively assessed by the manager prior to admission. She also collects information from other professionals and family who have been involved in the care of the resident. The manager has an excellent understanding of the strengths and limitations of the service and as such makes sound decisions about who should live at Beechwood. Residents said that they or a relative had visited the home prior to admission and had met and talked with the manager. They were clear that the first four weeks living at the home was a trial period during which they are able to decide if this was the right move for them. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 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, 8, 9 and 10. Residents benefit from well planned care that meets their health and personal care needs, which is delivered in a way that promotes their individuality and uniqueness and which protects their privacy and dignity. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure residents medication needs are met safely. EVIDENCE: Care plans documenting the care to be given to residents are clear, comprehensive and easily accessible. There is evidence of the involvement of healthcare professionals where appropriate. This included a speech and language therapist for one resident who staff had noticed was having difficulty swallowing. Other referrals have been made to doctors and district nurses. Speaking with staff demonstrated that they are all involved in care planning, which is clearly ‘person centred’. That is, staff treat residents as individuals and plan and deliver care to suit that individual. Residents are very complimentary about the care they receive and say that their needs are well met. One resident said that whilst help is always available residents are encouraged to maintain their abilities. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 10 They say that all staff (‘including the boss’) always knock on doors and all residents are referred to by their preferred name. One resident said that staff are ‘most kindly and discreet’ with a resident who tends to wander. Another said that staff ‘treat residents as individuals who have the right to make their own choices’. The home has recently upgraded the system for managing medication. In addition to the changes in policy and practice, a medication fridge and trolley have been purchased. One resident who self medicates has a clear understanding of the importance of keeping medications safely. Staff demonstrated an excellent understanding of the procedures in relation to medications and reference materials (such as the British National Formulary) are available and referred to. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 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, 14 and 15. Residents benefit from a lifestyle which suits their individual preferences and supports their choices. EVIDENCE: Residents said that the routines within the home are minimal and suit them. They make choices about when they get up, when they go to bed and what to wear. Staff try not to make assumptions and ask questions such as ‘would you like me to put your clean laundry away?’ and ‘would you like me to help you to bed now?’ Activities take place three times weekly. They are varied and include exercise classes, ‘pick a career’ (where a career is chosen for residents to discuss as they wish), sketching, flower arranging, guess the recipe, guess the object and quizzes. The activities co-ordinator also arranges coffee outings and outings to local attractions. Residents say they enjoy the activities on offer and can choose to participate or not. A recent ‘family day’ was obviously enjoyed by all. The majority of residents have bought many personal possessions and furniture into the home. One resident reports ‘I bought my garden with me’, another, who bought in an electric wheelchair, was asked where he would prefer it to be parked. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 12 Residents were very complimentary about the food at Beechwood. Residents say that meals are served in ‘ the lovely dining room’ or in bedrooms. ‘Tablecloths are changed between every meal’, ‘meals are always very appetising’ and ‘we can always have something different’. Teatime meals can be hot or cold and supper is prepared as requested. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 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. Residents are well protected by the homes policies and procedures regarding complaints. EVIDENCE: Residents said that they have no complaints but that any little issues are always dealt with promptly. No formal complaints have been received by the home or by CSCI. There is a suggestion book in the hall where suggestions have been made. There is clear evidence that these are followed up and many are put into action. When asked what the home could do better, residents struggled to find anything. One resident suggested more teaspoons and another said ‘I would like to stay here forever’. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 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, 22 and 26. The standard of the environment within this home is good providing residents with an attractive, homely, clean and safe place to live. Some residents would benefit from the addition of chair raisers to further promote independence. EVIDENCE: Beechwood is furnished, decorated and maintained to a very high standard. Corridors are wide and clutter free allowing residents with walking aids easy access to all areas of the home. The home is bright and clean throughout. There is a range of seating in varied seating areas including two ‘comfy’ sofas. These would benefit from ‘raisers’ to help residents rise out of them without assistance from staff. New chairs have been purchased recently which are of a high quality and are suitable for people with mobility problems. Residents say that their laundry is very well cared for and that staff do not assume to put it away but ask if they would like it put away. The home have recently purchased a new washing machine with a sluicing system and a system which controls for MRSA. In addition the home has installed a new boiler. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 15 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 and 30. The arrangements for staffing and training are good with staff demonstrating a clear understanding of their roles and working in numbers that meet residents needs. Procedures for vetting and recruiting staff are sound ensuring the protection of residents. EVIDENCE: The duty roster shows that staff are on duty in sufficient numbers to meet residents needs. Residents say that staff always come quickly and are always helpful. Comments from residents and observations confirm that the staff team work well together and enjoy a relaxed atmosphere. Comments include ‘the staff are very discreet’ and the staff are ‘kindly’. Although the inspector did not discuss training with the staff, records show that staff are trained to a good standard covering many topics, all appropriate to the needs of residents. 3 staff have undertaken First Aid at Work training and 13 have undertaken Emergency First Aid training. Other training has included manual handling, medication administration and health and safety. 11 of the 21 staff have successfully completed NVQ training and 4 staff are currently working towards this qualification. Two recruitment files were looked at. These contained all the information required to ensure the protection of residents. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33 35 and 38 Residents benefit from an ethos and efficient management systems that place them at the centre of everything that happens at Beechwood. The systems for resident consultation are good with a variety of evidence indicating that residents’ views are sought and acted upon. Their monies are well managed, however residents would benefit from improved safety procedures in relation to fire doors. EVIDENCE: Beechwood is well managed and staff have a good understanding of the home ethos and of their role in maintaining and promoting that ethos. The management style ensures that an inclusive atmosphere is promoted. Residents describe management as ‘helpful’ and ‘co-operative’. Residents’ comments during the inspection were very positive including ‘they are always open to suggestions’ and ‘the staff are very respectful’. One visitor described the home as ‘top notch’. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 17 The home has an active residents committee that meets three times yearly. Here residents have a chance to talk about plans for the home to and make their contributions to those plans. Recently, this has resulted in the plans for the ‘informal garden’ being changed to suit residents. One of the roles of the chair is to meet with new residents because ‘its never nice being the new person’. The home holds small amounts of monies for some residents. The system used ensures that monies are kept securely and is easily audited. Health and safety procedures are sound. However, a list of those people attending fire drills is not kept. This means that those people who have not attended training cannot be identified. In addition some bedroom doors, which are fire doors, are being propped or wedged open. Whilst it is understandable that residents should be able to make the choice to do this, the method used should comply with fire regulations. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 18 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 x 3 x x x 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 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x 2 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 3 x x 4 3 3 x 3 x x 2 Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 3 Regulation 23 (4) Requirement The registered person must make adequate arrangements for containing fires and for ensuring staff receive appropriate training.(This relates to the need to ensure that systems for holding fire doors open comply with fire regulations and the need to ensure that a list is kept of those staff who receive fire training/drills). Timescale for action 30/09/05 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 22 Good Practice Recommendations The registered person should consider raising the comfortable sofas so that residents are able to rise from here without assistance from staff. Beechwood House Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Retirement Home D54 D06_s64801_beechwood_v231083_250805 stage 4.doc Version 1.40 Page 21 - 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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