Inspection on 16/01/07 for Beenstock House

This inspection was carried out on 16th January 2007.

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

Beenstock House 13/02/09

Beenstock House 05/02/06

Beenstock House 10/11/05

Beenstock House 15/11/04

Beenstock House 17/08/04

Beenstock House 17/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Beenstock House 19-21 Northumberland Street Salford Gtr Manchester M7 4RP Lead Inspector Sue Jennings Key Unannounced Inspection 16 January 2007 10:00 X10015.doc Version 1.40 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 Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 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. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Beenstock House Address 19-21 Northumberland Street Salford Gtr Manchester M7 4RP 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) 0161 792 1515 0161 792 1616 Agudas Israel Housing Association Mrs Vered Begal Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th February 2006 Brief Description of the Service: Beenstock is a residential home that is registered to provide care for up to sixteen residents users whose primary care needs are due to their old age. The home offers both long-term care and short-term respite care. The home was first registered on the 18th August 1999 and is owned by the Agudas Israel Housing Association and managed locally by Beenstock Home Management Company Ltd. The registered manager is Mrs Vered Begal. The home offers a culturally specific service for Orthodox Jewish people. The residential home is integrated into a sheltered housing complex that comprises of three floors with sheltered flats provided on the ground and second floor and residential care occupying the first floor. The home is set in its own grounds and provides comfortable accommodation for residents. All bedrooms are single person occupancy with en-suite facilities. There is an assisted bathroom on the first floor for those residents who require assistance. There is a lounge/dining room on the first floor for residents and a larger dining/Sukkah on the ground floor. Both residents and tenants share the ground floor dining facilities. The home operates a non-smoking policy. The home is situated in a residential area of Salford and is located next to a local Synagogue; this enables resident’s religious needs to be met through ease of access via a path that runs from the home directly to the synagogue. Ample car parking facilities are available, and well-maintained gardens and patio areas surround the home. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was undertaken as part of a key inspection, which includes an analysis of any information received by the Commission for Social Care Inspection in relation to this home prior to the site visit. The visit was unannounced and took place over the course of 5 hours on Tuesday 16th January 2007. During the course of the site visit time was spent talking to the manager, 4 residents a visitor and 5 members of staff to find out their views of the home. The inspector spent time examining records and the residents and staff files. A tour of the building was also made. The requirements from the previous inspection had been addressed and there was evidence that the home was continuing to work hard to develop the service. During this inspection the key National Minimum Standards were assessed. The residential care fees are £435.00 per week. What the service does well: What has improved since the last inspection? Action had been taken to address the previous requirements. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s care needs are assessed and met by the home. EVIDENCE: The home had produced a Statement of Purpose and a Service User Guide which gave information about fees, what services were available, meal times, social activities and details of how to make a complaint. There was evidence that prospective residents had a care manager’s assessment of their needs carried out. The home manager would visit a prospective resident to establish if the home was able to meet their needs. Resident’s files contained assessments of need completed by the placing authority and the home. Residents placed by a care manager had received contracts from the local authority. The home did not provide intermediate care. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of the residents were being met by the home. EVIDENCE: The medication was stored in a metal trolley, which was secured to the wall. The Medication administration sheets were examined and were up to date and accurate with no gaps in recording. Controlled medication was appropriately stored and records well maintained. Residents who wish to manage their own medication would be assessed as to their ability to do so, before medication is provided to them. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 10 All residents were registered with a local General Practitioner (GP). There were arrangements in place for dental, optical and chiropody services for all residents. Residents were able to see visiting health professionals in the privacy of their own room. One resident was cared for in bed, the assistant manager stated that regular reviews were carried out by district nurses for this resident to ensure that the home continues to meet their needs. It was recommended that comprehensive records be kept on the care plan to record these reviews and to identify any change in needs. The resident looked very comfortable and well cared for. A visiting district nurse was spoken to during the site visit they said that referrals were made by the staff in the home and were usually appropriate. They were happy that the people they visited appeared to be well cared for by the home. Care plans included risk assessments, and were linked to the initial assessments making sure that all residents identified needs were addressed. Care plans included oral health care, nutrition, continence, mobility and history of falls, religious and cultural needs. Risk assessments were in place. Nutritional screening, continence assessments and oral hygiene needs of residents were undertaken on admission and a plan of care had been implemented where appropriate. Specialist lifting equipment was provided to meet the needs of the resident’s. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provided a good environment for the residents who live there with a wide range of activities and a nutritious, well balanced and varied diet for residents. EVIDENCE: There was a relaxed atmosphere in the home and it was evident that residents were able to choose how they spend their days. Residents were able to get up and go to bed whenever they chose to. The home had an open visiting policy and visitors could be seen in the privacy of resident’s own room or in any of the communal areas. There are no restrictions on visiting unless the resident has agreed this. One resident said “ my family can visit me whenever they want to”. A number of areas of good practice were noted including the promotion of equality and diversity. The home is located close to a Synagogue with direct access via a pathway from the home. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 12 The menus offered a varied, wholesome and nutritious diet. A choice of alternative meals was available. Staff consulted residents on a daily basis for their preferred meals. Mealtimes were flexible and taken in a bright and comfortable dining room. Staff were observed to assist those residents requiring help with eating. This was carried out in a sensitive and respectful manner. Breakfast could be served in resident’s bedrooms or in the dining room areas. Meals provided offered varied, healthy and culturally appropriate choices. The home had an extensive activities programme in place which included religious guest speakers, fruit carving and bread making demonstrations, bingo, embroidery, gentle exercises, song and music and comedy artists. One resident said “I cannot get out on my own, when I go to the Synagogue some one helps me”. Another said “they look after me very well I don’t want for anything else”. Another resident said “ I am very contented they keep the Shabbos”. Posters advertising the weekly and daytime activities were displayed around the home in English and Hebrew. Volunteers from the local community visited the home on a regular basis and if required would act as advocates on behalf of a resident. Information in respect of local advocacy support groups was displayed in the ground floor reception area of the home. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had policies and procedures in place to ensure the residents were safeguarded from abuse. EVIDENCE: The home had a copy of the Salford City Council’s Adult Protection Policy and Procedure and the manager and staff were aware of the procedure to be followed in the event of an allegation of abuse being made. The home had a procedure for responding to allegations of abuse. The majority of staff had completed training in the protection of vulnerable adults. The home had a complaints procedure in place that was located in the entrance foyer. Residents received a copy, which is included in the Service User Guide, on making an enquiry about admission or on admission to the home. The Commission for Social Care Inspection had not received any complaints about this service and the assistant manager stated that the home had not received any complaints. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 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 the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are safe and the homes environment, including the standard of hygiene, was well maintained both internally and externally. EVIDENCE: The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. All areas of the home were tastefully decorated and furniture was of a domestic nature and of a high standard. The home had a programme of routine maintenance and renewal of the fabric and decoration. Bedrooms were personalised with items brought from residents homes. Some had a television and radio and were able to spend time in the privacy of their rooms if they wished. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 15 Resident’s bedrooms had been fitted with a privacy lock suited to their capabilities and accessible to staff in emergencies. Residents were offered a key so they could lock their rooms. Each bedroom had an emergency call system fitted to enable the resident to summon help if needed. One resident said “I pull this cord and the light comes on so I know it is working, the staff come pretty quickly”. Aids and adaptations had been provided for residents. Residents who had identified needs in the area of mobility were referred to the physiotherapist via their general practitioner for a professional assessment. There were sufficient toilets situated around the home. They were clearly marked and close to the communal areas and bedrooms so that residents could access them easily. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff appeared sufficient to meet the needs of the residents accommodated. EVIDENCE: The home employed Jewish and non-Jewish staff and both male and female care workers were employed to meet the cultural and individual preferences of service users. The numbers and skill mix of the staff, at the time of inspection appeared to be sufficient to meet the needs of the number of residents accommodated. The gender mix of staff was good with a male carer being on the team. This enabled the male service users to have some choice about whether they wished to have a male carer to assist with their personal care needs. A volunteer was spoken to during the site visit and said that the home had cared for their relative so well they wanted to continue to support the home by helping with mealtimes and some clerical support. Another visitor said “they look after may husband very well”. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 17 A sample of staff files were examined and of the staff files viewed evidence was seen that they contained copies of the application form, references and CRB disclosure numbers. All records held in respect of staff working at the home are in place before a member of staff is employed. A sample of staff files was examined and found to contain two written references and an application form. The assistant manager stated that CRB checks were obtained prior to staff commencing employment. The organisation has a domiciliary care agency operating from the same premises and providing support to tenants in the sheltered flats. It was the responsibility of the registered manager, deputy manager or other designated member staff on duty to make telephone contact with the tenants at Beenstock Home each morning. Training needs were identified during supervision and the home provided ongoing refresher training in Health and Safety, Basic Food Hygiene, Fire Safety, First Aid and Moving and Handling. Staff rotas were examined and identified which staff were delegated to the residential home and which to the domiciliary care duties. Staff files examined indicated that the staff received regular supervision to allow them to support the residents appropriately. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s quality monitoring systems protected residents and the home had systems and procedures in place, which safeguarded and protected residents. EVIDENCE: Families assist residents who are unable to manage their own finances. All residents were in receipt of their personal allowances. Small amounts of money were held for residents to purchase small items. Systems were in place to ensure the safe handling and storage of service users monies. All records containing personal information relating to residents and staff are stored in line with the Data Protection Act 1998. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 19 A health and safety policy was in place and risk assessments of the premises and safe working practices had been carried out. This was to ensure that both residents and staff had relevant information to enable them to live and work in a safe environment. A fire risk assessment has been started but this needs further development. Relevant certificates were on file to show that appropriate servicing of equipment used by residents in the home had been carried out. Fixed Gas and Electricty appliances had been regularly maintained and a periodic test of portable appliences and lifting equipment had been carried out. Fire equipment had been regularly maintained and staff had received fire awareness training. Hot food temperatures were recorded as were fridge and freezer temperatures. Fly screens were fitted to the kitchen windows. The homes certificates of registration and public liability insurance had been displayed in the entrance hall. These were accurate and up to date. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A X 3 X 3 X X 2 Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 21 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 OP38 Regulation 23 Requirement The home must obtain advice from the fire service on the completion of the fire risk assessment. Timescale for action 05/03/07 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 OP7 Good Practice Recommendations The home should ensure that a record is kept in care plans of regular reviews undertaken by the district nurses. Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection CSCI, Local office 11th Floor West Point 501 Chester Road Old Trafford,Manchester M16 9HU 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 Beenstock House DS0000008355.V293097.R01.S.doc Version 5.1 Page 23 - 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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