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Inspection on 08/08/05 for Beechwood Residential Home

Also see our care home review for Beechwood Residential Home for more information

This inspection was carried out on 8th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

All service users related they were happy living at the home and had no complaints. Service users had built up good relationships with staff. Service users are able to take part in age, peer and culturally appropriate activities. The home demonstrated that service users are attending relevant day centre facilities and social clubs. Service users engage in their local community by going shopping, to church and on walks in the locality. Service users were looking forward to their forthcoming holiday. The home promotes service users independence and choice. Independent living skills are actively encouraged. Service users were observed during the Inspection exercising their individual choice and participating in their own daily routines which including cooking. Service users responsibility for house keeping tasks is specified in their individual plan. This includes cooking, cleaning their rooms and communal areas, laundry and ironing. The home promotes a healthy lifestyle through exercise. During the Inspection service users were observed using the home`s exercise bike.

What has improved since the last inspection?

An experienced Acting Manager has been in post since April 2005 and is applying for registration. The staff office has moved downstairs, enabling service users to interact more easily with management.

What the care home could do better:

During this Inspection nine legal requirements were highlighted and one recommendation. All service users must have up-to-date risk assessments. Service users welfare must be promoted and safeguarded by the home`s risk management policy. The home must ensure all information regarding service users is securely stored. Service users must be protected by the home`s confidentiality procedure. Examination of healthcare files evidenced two service users had outstanding dental and optician appointments. All service users must benefit from dental and optician appointments at regular intervals. The home must ensure service users health needs are monitored and promoted. Medication administration records must be accurately maintained. Medication no longer in use must be disposed of. More plasters must be purchased for the first aid box. Service users must be protected by the home`s medication procedures. Health and safety and general maintenance must be further addressed. Nonslip mats must be provided in the bathrooms and a bulb must be replaced in the ground floor bathroom. Service users welfare, health and safety must be safeguarded. The fire risk assessment must be dated. Fluff must be regularly removed from the tumble drier. Service users must be protected by the home`s fire safety practices.Refrigerated foods must be date labelled when opened. Service users health must be protected by the home`s food hygiene practices. The person who records the resident and staff meeting minutes should print their name to ensure accountability. The Registered Provider must provide written evidence of their monthly monitoring visits. Service users must benefit from the home`s quality assurance systems.

CARE HOME ADULTS 18-65 Beechwood Residential Home 17 Ismalia Road Forest Gate London E7 Lead Inspector Sharon Lewis Unannounced Inspection 8 August 2005 at 4:15pm th 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Beechwood Residential Home Address 17 Ismalia Road, Forest Gate, London, E7 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) 020 8472 2771 020 8472 2771 Mrs Pretim Singh Mr Ben Piper, Acting Manager Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th January 2005 Brief Description of the Service: Beechwood Residential Home provides accommodation and care for five adults with learning disabilities. A private individual Mrs Pretim Singh owns the home. The Acting Manager is currently going through the registration process. Service users benefit from residing in a warm, family atmosphere where 24-hour care is provided. The home has three single rooms and one shared double room. All bedrooms are located upstairs. The home does not have a passenger lift; therefore it is unsuitable for service users with mobility needs. Service users have access to two lounges, which includes a dining area and a rear patio garden with garden furniture. Local amenities include a culturally diverse parade of local shops, post office and food outlets in Upton Lane. Several bus routes serve the home. The nearest underground station is Upton Park, on the District Line. The nearest British Rail station is Forest Gate. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection was undertaken over a Monday afternoon and lasted approximately three hours. The overall objective of this Inspection is to ensure service users are receiving the best possible care and their welfare is safeguarded and promoted at the care home. The Inspector spoke to the five service users currently living at the home. Individual discussions were also held with the two Support Workers on duty. Service users files and daily logs, medication and medication administration records, all health and safety records and other relevant documentation were also examined. A tour of the premises was also undertaken. The Inspector would like to thank all service users and staff members for their assistance with this Inspection. What the service does well: All service users related they were happy living at the home and had no complaints. Service users had built up good relationships with staff. Service users are able to take part in age, peer and culturally appropriate activities. The home demonstrated that service users are attending relevant day centre facilities and social clubs. Service users engage in their local community by going shopping, to church and on walks in the locality. Service users were looking forward to their forthcoming holiday. The home promotes service users independence and choice. Independent living skills are actively encouraged. Service users were observed during the Inspection exercising their individual choice and participating in their own daily routines which including cooking. Service users responsibility for house keeping tasks is specified in their individual plan. This includes cooking, cleaning their rooms and communal areas, laundry and ironing. The home promotes a healthy lifestyle through exercise. During the Inspection service users were observed using the home’s exercise bike. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: During this Inspection nine legal requirements were highlighted and one recommendation. All service users must have up-to-date risk assessments. Service users welfare must be promoted and safeguarded by the home’s risk management policy. The home must ensure all information regarding service users is securely stored. Service users must be protected by the home’s confidentiality procedure. Examination of healthcare files evidenced two service users had outstanding dental and optician appointments. All service users must benefit from dental and optician appointments at regular intervals. The home must ensure service users health needs are monitored and promoted. Medication administration records must be accurately maintained. Medication no longer in use must be disposed of. More plasters must be purchased for the first aid box. Service users must be protected by the home’s medication procedures. Health and safety and general maintenance must be further addressed. Nonslip mats must be provided in the bathrooms and a bulb must be replaced in the ground floor bathroom. Service users welfare, health and safety must be safeguarded. The fire risk assessment must be dated. Fluff must be regularly removed from the tumble drier. Service users must be protected by the home’s fire safety practices. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 7 Refrigerated foods must be date labelled when opened. Service users health must be protected by the home’s food hygiene practices. The person who records the resident and staff meeting minutes should print their name to ensure accountability. The Registered Provider must provide written evidence of their monthly monitoring visits. Service users must benefit from the home’s quality assurance systems. 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 Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 2 - 4 The home has the necessary policies and procedures, which assist prospective service users in deciding if the home can meet their needs. EVIDENCE: No new service users have moved into the home since the last Inspection. Service users’ files evidenced that service users were admitted to the home only after a full assessment had been undertaken. The assessment process involves the service user, their relatives and appropriate health and social care professionals. A pre-admission assessment is always completed by the home. The home has eligibility criteria and service users are only admitted into the home if their needs can be met. The eligibility clearly identifies the dependency levels the home can sufficiently care for. Where service users needs had increased the home evidenced that they had taken appropriate action. The home has an admission policy. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 10 All service users move into the home on a trial basis. Placements are only made permanent after a review meeting has been held. This includes the service user, the social worker and family/representative. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 6 - 10 Service users individual needs and choices are promoted at Beechwood Residential Home. Risk management and confidentiality must be further addressed. EVIDENCE: All service user files were examined during this Inspection. Service users assessed and changing needs are reflected in their individual care plan. The home evidenced that care plans were regularly reviewed. Staff demonstrated that assistance and support was given to service users to make decisions about their own lives. Examination of the home’s daily logs, and service users’ plans, evidenced that service users exercised choice in their daily lives. Service users’ individual choices were noted in their daily record. On the day of the Inspection service users were seen preparing meals, making decisions and their wishes were being respected. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 12 Service users are able to participate in the day to day running of the home, through residents meetings and staff discussions. The home demonstrated that monthly residents meetings were held. Records evidenced service users sharing their views and contributing towards menu, activity and holiday planning. Service users are supported to take risks as part of an independent lifestyle. Risk assessments have been developed for all service users. Two risk assessments however required updating. All service users must have up-todate risk assessments. Service users welfare must be promoted and safeguarded by the home’s risk management policy. The home has a confidentiality policy. All information regarding service users is considered confidential and is stored in locked cupboards in the Manager’s office. Breaches in confidentiality however were observed during the Inspection. The Manager’s office has now been moved to the ground floor and was unlocked. A service user was observed entering the office and picking up a letter from the Manager’s desk that related to another service user. The service user was able to read parts of this letter and this behaviour was not challenged by staff. The home must ensure all information regarding service users is securely stored. Service users must be protected by the home’s confidentiality procedure. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 13 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 standard(s) 11, 12, 13, 16 & 17 Service users lifestyle needs are individually promoted at Beechwood Residential Home. Healthy eating must be consistently encouraged. EVIDENCE: Service users’ files, observation and discussions with staff evidenced the opportunities service users have to fulfil their spiritual needs and independent skills. Service users attend church on Sundays and are supported by staff. Service users are able to take part in age, peer and culturally appropriate activities. Service users attend various day centres, social clubs and participate in daily leisure activities. On the day of the Inspection service users were observed listening to music, doing art work, riding the home’s exercise bike, watching television and reading the newspaper. Activities undertaken by service users are recorded in their individual daily record book. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 14 The home demonstrated that service users’ rights are respected and responsibilities recognised in their daily lives. Service users were observed during the Inspection exercising their individual choice and participating in their own daily routines. Service users responsibility for house keeping tasks is specified in their individual plan. This includes cooking, cleaning their rooms and communal areas, laundry and ironing. The home promotes a healthy lifestyle through exercise. During the Inspection service users were observed using the home’s exercise bike. Menus were examined and found to be nutritious, balanced and reflecting various cultures. Menus are planned with service users every week. A pictorial menu is displayed on a notice board in the dining area and kitchen. Service users take turns with the meal preparation. Every week service users have the opportunity to have a takeaway. During the Inspection service users were observed cooking the evening meal with a member of staff and laying the table for their evening meal. The Inspector had dinner with service users. Service users had ample portions and were able to have more food if required. All service users were observed to enjoy their meals. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 15 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 standard(s) 18 - 20 Service users personal and health needs are generally promoted. Service users must benefit from regular health appointments and improved medication practices. EVIDENCE: Service users receive personal support in the way they prefer and require. Times for getting up/going to bed, baths, meals and other activities are flexible and dependent on service users needs and preferences. Service users choose their own clothes and their overall appearance reflects their age and individual personality. Documentation evidenced that service users health is monitored and potential complications and problems are identified and dealt with at an early stage, including prompt referral to an appropriate specialist. Examination of healthcare files evidenced two service users had outstanding dental and optician appointments. All service users must benefit from dental and optician appointments at regular intervals. The home must ensure service users health needs are monitored and promoted. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 16 Medication administration records must be accurately maintained. Medication no longer in use must be disposed of. More plasters must be purchased for the first aid box. Service users must be protected by the home’s medication procedures. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 17 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 standard(s) 22 - 23 Service users safety and welfare is promoted to minimise risk and safeguard them from abuse or harm. EVIDENCE: The home has produced a complaints policy. The complaints procedure is also available in a pictorial format. There have been no complaints during the last 12 months. Adult Protection, Whistle blowing and Restraint policies and procedures have been produced. This included the Department of Health ‘No Secrets’ document. There have been no incidents relating to adult protection. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 18 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 standard(s) 24, 26, 27, 28 & 30 Beechwood Residential Home provides service users with a homely environment. Health and safety and general maintenance must be further addressed. EVIDENCE: The home is located in a residential street in Forest Gate, in the London Borough of Newham. The premises is a terraced property which blends easily into the neighbourhood and presents as a family home. The home was found to be comfortable, homely, well decorated and maintained throughout. The home is in close proximity to the Green Street shopping area and Woodgrange Road, which has a range of culturally diverse shops, services and amenities. Stratford, Ilford and East Ham shopping areas are also easily accessible by public transport. Several bus routes serve the home. The nearest underground station is Upton Park, on the District Line. The nearest British Rail station is Forest Gate. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 19 Since the last Inspection the staff office has been moved to the ground floor. Service users are able to access the Manager more easily. This has created a spare room on the second floor. The home is proposing to create another bedroom and increase their numbers from five to six. All service user bedrooms were inspected. Bedrooms were clean, tidy and had sufficient space for personal items. Service users can bring their own furniture and can decorate and personalise their rooms subject to fire and safety requirements. Service users’ bedrooms contained photographs, pictures, ornaments and collectible items. Toilets and bathrooms provide sufficient privacy to meet individual needs. There is a choice of two bathrooms, one with shower facilities and the other having a deep bath. Bathrooms were attractively tiled and facilities were of a high standard. Health and safety and general maintenance must be further addressed. Non-slip mats must be provided in the bathrooms and a light bulb must be replaced in the ground floor bathroom. Service users welfare, health and safety must be safeguarded. Shared spaces complement and supplement service users’ individual rooms. Service users have access to two lounges, which includes a dining area. The front communal lounge is comfortable and homely. Leather settees promote a contemporary atmosphere. Service users have access to a large television, video and music system. A range of compact discs, videos, books and games are available. The rear lounge includes a dining area, exercise bike and the service user notice board, which includes information in pictorial formats and Makaton signs. Photographs of service users are in framed displays throughout the home. Service users have their own telephone which is located in the ground floor hallway. Service users additionally benefit from a well maintained patio garden with flowers and garden furniture. The home was clean and free from offensive odours. A utility room is available with laundry facilities. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 33 Beechwood Residential Home has adequate staffing and service users benefit from an effective staff team. EVIDENCE: All service users related they were happy living at the home and had no complaints. Service users had built up good relationships with staff. Observation, service user and staff discussions evidenced that competent staff supported service users. Staff discussions and observations demonstrated that staff respect service users and have attitudes and characteristics that are important to them. In addition to having the necessary skills and experience. Staffing rotas and observation evidenced the home had sufficient staff to meet the individual and collective needs of service users. An on-call system is in operation in the event of an emergency. Staff NVQ (National Vocational Qualification) training is in progress. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41 & 42 The home is adequately managed however service users welfare, health and safety must be better promoted. EVIDENCE: Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 22 Service users benefit from the appointment of new Manager in April 2005. The Acting Manager has two years management experience and was previously registered at another establishment. The Acting Manager has obtained the Registered Manager Award and has a Masters degree in Health Psychology. Although not present at the Inspection, the Acting Manager appeared to have formed a good relationship with service users. One of the service user’s described the new Manager as “lovely”. Staff meetings were seen to cover a range of issues and the management process was open and transparent. Lines of accountability within the home are clearly understood by staff and service users. A service development plan has been produced which includes a systematic cycle of planning, action, review, reflecting the aims and outcomes for service users. The Registered Provider must provide written evidence of their monthly monitoring visits. Service users must benefit from the home’s quality assurance systems. All service users files are well maintained and daily reports are completed. The person who records the resident and staff meeting minutes should however print their name to ensure accountability. Accidents and incidents are appropriately maintained. More diligence must be undertaken in regards to fire safety and food hygiene. The fire risk assessment must be dated. Fluff must be regularly removed from the tumble drier. Service users must be protected by the home’s fire safety practices. Refrigerated foods must be date labelled when opened. Service users health must be protected by the home’s food hygiene practices. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 23 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 x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 2 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Beechwood Residential Home Score 3 2 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 x 3 2 x G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 24 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. 2. Standard 9 19 Regulation 13 (4) 12 (1) Requirement All service users must have upto-date risk assessments. All service users must benefit from dental and optician appointments at regular intervals. Medication administration records must be accurately maintained. Medication no longer in use must be disposed of. More plasters must be purchased for the first aid box. The Registered Provider must provide written evidence of their monthly monitoring visits. Refrigerated foods must be date labelled when opened. The fire risk assessment must be dated. Fluff must be regularly removed from the tumble drier. The home must ensure all information regarding service users is securely stored. Non-slip mats must be provided in the bathrooms. A light bulb must be replaced in the ground floor bathroom. Timescale for action 01.10.05 01.12.05 3. 20 13 (2) 01.10.05 4. 5. 6. 7. 8. 9. 10. 39 42 42 10 27 27 26 16 (2) (g) 23 (4) 17 (b) 13 (4) (a) 23 (2) (p) 01.10.05 01.10.05 01.10.05 01.10.05 01.10.05 01.10.05 Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 25 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 41 Good Practice Recommendations The person who records the resident and staff meeting minutes should print their name to ensure accountability. Beechwood Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Gredley House 1-11 Broadway London E15 4BQ 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 Residential Home G57-G06 S22830 Beechwood Residential Home V245484 080805 Stage 4.doc Version 1.40 Page 27 - 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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