CARE HOME ADULTS 18-65
Beechwood Residential Care Home 29 Queen`s Road Blackhill Consett Durham DH8 OBL Lead Inspector
Belinda Parker Unannounced Inspection 6th October 2005 11:45a Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 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.V253866.R01.S.doc Version 5.0 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.V253866.R01.S.doc Version 5.0 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) Mr William Heslop 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.V253866.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The Manager should attain (by 2005) a qualification, at Level 4 NVQ in Management or equivalent. 7th April 2005 Date of last inspection 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. The home is owned by Mr W. Heslop and Mrs J. Heslop. Beechwood is a large, detached house situated in private grounds and located in Blackhill, near Consett in County Durham. The home provides well maintained 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. The home aims to provide a wide range of social activities and recreational choices to its residents. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 6/10/05 over a period of three hours. During the inspection time was spent talking to service users, staff and a relative. A number of records were examined. There were no requirements or recommendation made at the last inspection. What the service does well: What has improved since the last inspection? What they could do better:
The manager is aware that the service always has to move forward to meet the changing needs of the people who live in the home and that staff are adequately equipped with the necessary skills to meet those needs. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 6 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 Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 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.V253866.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 The admission process to the home is clear, providing prospective service users and their family with good information about the service offered to enable them to make an informed decision as to whether they wish to move into the home. EVIDENCE: The home has an up to date Statement of Purpose and Service User Guide in place. The manager said the home is currently reviewing these document to present them in a more user friendly format. These documents provide prospective service users and their relatives with clear information about what the service offers. The manager demonstrated that a full assessment is carried out for all prospective service users to ensure the home has the capacity to meet their individual needs. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 Positive relationships between staff and service users have been formed over a period of time, with respect and dignity being afforded to the people living in the home. EVIDENCE: Discussion with staff and a service user showed that staff have a good understanding of service users different personalities and needs, offering respect and dignity and being supported to make choices within their chosen lifestyle. This is evident from the positive relationships, which have been formed between staff and service users. A staff member commented, “ It doesn’t feel like work, just part of a large family”. A service user said, “ The manager always says ‘Good morning, how are you today’ “. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 and 17 Links with the community and relatives and friends are good and support and enrich service users’ social and educational opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: A service user and his family spoken to during the inspection demonstrated that the service user enjoys a fulfilling social life supported by staff in when out in the community. Relatives commented that their family member is able to keep in touch with other family members who live far away by telephone and supported by staff to send letters and cards. Relatives spoken to during the inspection commented, “ It is a home where everyone is treated with respect”. One service user mentioned a recent holiday with staff, saying how much he and his friends in the home enjoyed it. The manager said one service user attends college and is to shortly commence a new course in drama, which he is looking forward to.
Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 11 Service users and a relative talked about the quality and good choice of food provided in the home. The manager had available a copy of a four week rotating menu which included the opportunity to eat out during the week, saying alternatives where always available to the main meal of the day as well as a range of drinks and snacks. The manager said one service user is provided with a special diet to meet his needs. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 20 The arrangements in place for the provision of health care services to ensure the needs of services users are being met are good. The medication in this home is well managed promoting good health. EVIDENCE: Evidence was available to show that the health care needs of service users are met. All services users are registered with a GP in the local area. The manager said the local GP has a good rapport with service users. The manager said one service user’s medication is dispensed by staff with the service user being supported and encouraged by staff to administer their own medication. The manager said all service users are assessed as to their ability to self-administer medication. Where service users lack capacity they are administered medication by staff for their protection. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Robust procedures for responding to suspicion or evidence of abuse or neglect ensure the safety and protection of the people living in the home. EVIDENCE: A staff member spoken to during the inspection was able to demonstrate a good awareness of POVA (Protection of Vulnerable Adults). The manager said she discussed this important area during induction of new staff to ensure the protection of service users. All employees have a current Criminal Records Bureau check in place. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 Service users live in a homely and well maintained comfortable environment. EVIDENCE: This standard section was not assessed in depth at this inspection. The home continues to provide a high standard of comfort for service users. One service user commented that he was getting a new bed and furniture for his room. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This standard section was not assessed at this inspection. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The manager provides clear leadership and has a good understanding of the need to continue to move the service forward for the benefit of the people who live in the home and other visitors. EVIDENCE: The manager was able to demonstrate clear leadership and continued development of the service to meet the changing needs of service users. It is commendable that the Palliative Care Team from the health service complimented in writing the manager and her staff team on care provided to a service user in the home during a time of illness and dying. Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 17 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 4 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score X X X X X x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Beechwood Residential Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x x x DS0000007456.V253866.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Beechwood Residential Care Home DS0000007456.V253866.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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