Inspection on 14/06/07 for Beechwood Residential Care Home

This inspection was carried out on 14th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Residential Care Home 06/10/05

Beechwood Residential Care Home 07/04/05

Beechwood Residential Care Home 30/11/04

Beechwood Residential Care Home 06/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Beechwood Residential Care Home 29 Queen`s Road Blackhill Consett Durham DH8 OBL Lead Inspector Mrs Tanya Newton Unannounced Inspection 14 June 2007 12:00 Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 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 Residential Care Home DS0000007456.V332505.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 Adults 18-65. 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 Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood Residential Care Home Address 29 Queen`s Road Blackhill Consett Durham DH8 OBL 01207 590639 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) Mrs Janette Heslop Mrs Mary Summerson Care Home 6 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Beechwood is registered with the Commission for Social Care Inspection to accommodate and provide care for up to six adults with a learning disability. Beechwood is a large, detached house situated in private grounds and located in Blackhill, near Consett in County Durham. The home provides wellmaintained and homely accommodation on two floors. Communal accommodation consists of a large lounge, dining room, kitchen and conservatory, with extensive external grounds. Five bedrooms are located on the first floor of the building and one is located on the ground floor. One of the bedrooms provides en-suite bathing, washing and toilet facilities and another one provides en-suite shower, washing and toilet facilities. A communal bathroom is located on the first floor and a communal toilet is located on the ground floor. Fees at the home range between £580 and £1100 per week. Fees do not include hairdressing or chiropody. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of the home was unannounced and took place between the hours of 12.00 and 5:30pm. All of the key national minimum standards were inspected. The inspector spoke to residents and staff. The manager was also present. A selection of records kept by the home was looked at. Prior to the inspection the home had completed a self-assessment document, which provided the Commission for Social Care Inspection (CSCI) with information to aid the inspection. Some service users and relatives had also completed comment cards, which tell the inspector what they think about the home. Comments from people consulted during the inspection are included throughout the report. What the service does well: What has improved since the last inspection? There were no requirements or recommendations made at the last inspection. The service continues to move forward enhancing its good reputation for the provision of a quality care service. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have their needs fully assessed before moving into the home. EVIDENCE: The home manager assesses people prior to them moving into the home. The admission process to the home is clear and people are given information to support them in making informed decisions about their care. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans continue to reflect individuals changing needs in a detailed manner. People are encouraged to participate in all aspects of life within the home. EVIDENCE: Each person living at the home has an individual plan of care (care plan), which sets out the way in which the home will meet his or her needs. The standard of care planning was very high with particular regard given to risk management demonstrating that staff had a clear understanding of each person’s individual needs. The care plans are reviewed regularly so that any changes in needs can be quickly identified. All people living at the home are encouraged to be as independent as possible, risk assessments are carried out to support people in making choices and the way in which staff support people to do this is recorded in people’s files. Observations made throughout the inspection found that staff interacted well Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 10 with all people living at the home. Comments from relatives included “The home offers a very person centred approach to the residents” and “my relative is involved in decisions which affect her life style and there appears to be a strong and proactive team to help her achieve her goals. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are a variety of social opportunities available, which all people living at the home participate in. Staff respect people’s rights and respond to their wishes. Mealtimes are a relaxed social occasion. EVIDENCE: People living at the home had just returned from a holiday in the Lake District. On the day of the inspection some people had been to visit their relatives. There are a variety of activities taking place, which include visits to the cinema and theatre, arts and crafts, life skills, physical exercise and meals out. People living at the home also take part in training courses with staff in areas such as food hygiene, first aid and health and safety. It is clear that the home provides a range of activities which people enjoy. One person accommodated said, “I enjoy going to the pub and I go home and visit my family”, another said “I like it here, I like doing jigsaws, I enjoyed my Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 12 holiday in The Lakes, we had a lovely time and we played pool and table tennis and had a BBQ”. A staff member said, “We have just been on holiday, everyone enjoyed it, people here say where they want to go and it happens, there are lots of social opportunities, those that don’t want to go don’t have to”. Relatives said that they were made welcome to the home. A relative said “There is a warm family environment and the home maintains people’s skills whilst ensuring that these skills are developed at the persons own pace”. There is a choice of menus and people living in the home say that the food is good. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People were clearly being well looked after in a way that supported them as individuals and clearly met their needs. Medication systems continue to be safe. EVIDENCE: People’s personal and healthcare needs were well documented within care plans with reviews taking place on a regular basis. Each person’s individual needs are catered for. People are encouraged to be as self-managing as possible. One of the people accommodated has recently undergone a substantial change in their care needs. The positive and proactive way, which the home has responded to this, is commendable. Medication systems were safe. All staff administering medication had undergone training first. The home should purchase a medication trolley so that medication can be stored and administered more effectively. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 14 One person said, “The staff look after my medication which is ok” . A health professional said, “The staff know the residents very well and have all been trained appropriately”. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes policies, systems and training support and protect residents. EVIDENCE: The home has received no complaints since the last inspection. Each person living at the home is provided with a pictorial complaints procedure. The home also has a complaints/suggestions box, which anyone can use. The complaints procedure requires minor amendment to show the role of the local authority in investigating complaints. All people spoken to said that they would feel confident raising concerns if they had them. The home has a clear adult protection procedure and staff have received training in adult protection. All staff said that they would “whistle blow” (tell someone) if they thought a resident was at risk of harm or abuse. One staff member said, “I couldn’t put up with bad practice”. Criminal Record Bureau (CRB) checks are obtained for all staff before they start employment, which also protects the service users living within the home. A random check was carried out on two people’s finances, monies were correct. The home acts as an appointee for two people, it is recommended where possible that this is passed to the local authorities contracts department. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe, well maintained and in the main, decorated to a high standard throughout. It is clean and comfortable. EVIDENCE: Most rooms are well decorated and maintained. There are plans to redecorate those rooms, which require it. Most rooms are individually furnished and decorated to suit individual needs and choices. Standards throughout the home were high. The home is clean and well maintained. One person whose needs are changing quickly would benefit from their bedroom being redecorated in a timely manner, and in a way, which will best support their needs. One comment card received from a relative, said that a bedroom needed decoration, as it had not been updated for seven years. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 17 Physical aids are being purchased so that the changing needs of the people accommodated can continue to be met. A stair lift has been fitted and the home is seeking advice from an occupational therapist regarding the bathroom. The bath is being changed to support those people who are less able. A pathway is needed to support people in accessing the garden safely. A relative said, “Mary and the team have made this a family home, there is no atmosphere of a care home, just a beautifully maintained family home” another said, “The location of the home promotes a feeling of well-being. The grounds are maintained to a high standard and the home retains character and is decorated tastefully to a high standard”. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a clear commitment to provide training to all staff and many courses are accessed. All new staff receive Learning Disability Award Framework (LDAF) induction training, which is then followed by the foundation training. This provides new staff with clear training in the field of learning disabilities. The home has a clear commitment to NVQ training at levels 2 & 3. The home has exceeded the target of 50 of staff achieving an NVQ at level 2 or 3. Other training includes fire safety, safe handling of medicines, dementia training, “No Secrets” adult protection training, first aid, manual handling and the advanced food hygiene. Training is based very much around meeting the needs of the service users accommodated. The home has a diverse staff team, which balances skills, knowledge and experience to meet the needs of the people accommodated. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 19 Staff recruitment is robust, the home seeks an enhanced Criminal Record Bureau (CRB) check for all staff prior to them starting employment. Staff files contain all of the required information. There is a minimum of two staff on duty throughout the day. One relative said “We are very grateful to the staff at Beechwood for making our relative so happy”. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run. Quality assurance systems are in place and there are good systems to maintain the health, safety and well being of service users and staff. EVIDENCE: The manager provides staff with clear support and guidance and there are clear lines of accountability within the service. Staff are committed to working with the manager to improve and develop the service being provided. The service users accommodated remain at the forefront for all decisions being made. The service is focused on developing and supporting service users to Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 21 make choices and decisions in all aspects of their lives. The homes policies and practices support this. The home has continued to develop quality assurance systems to seek service user/relative/professional opinions of the home. The manager audits the services being offered within the home, documenting any action taken as a result of this. Health and safety checks are carried out on a regular basis to protect staff and service users living at the home. A visiting professional said, “I do believe that Beechwood strives to improve the services they offer constantly”. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 3 X X 3 X Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA20 YA24 Good Practice Recommendations A medication cabinet/trolley should be purchased to aid the administration of medication within the home. Bedrooms which require decoration should be done so in a timely manner, a path is needed so that the garden is safe and accessible to people. Beechwood Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Residential Care Home DS0000007456.V332505.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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