Inspection on 05/02/06 for Beenstock House

This inspection was carried out on 5th February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beenstock House 13/02/09

Beenstock House 16/01/07

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 Kathleen Mcall Unannounced Inspection 5th February 2006 11:05 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.V276150.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.V276150.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.V276150.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th November 2005. 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 it is clean, well presented and provides comfortable accommodation throughout. All bedrooms are single person occupancy with ensuite 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.V276150.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a Sunday. The registered manager was on leave and was not available at the time of the inspection. The general manager and the deputy manager assisted the inspector throughout the inspection process. Care plans, assessment documentation, medicines and their storage were examined. The inspector spoke with several residents who were in the home at the time of the inspection and spoke with members of staff. The inspector met two relatives who were visiting the home at the time of the inspection. Residents told the inspector that they were very happy with the care provided. One resident said she was ‘very happy with the care provided, the food is excellent.’ Another resident said she had ‘no complaints the home is beautiful’ and that her health needs were taken care of. Other residents described care staff as being ‘marvellous’ and that care staff maintained their privacy and dignity at all times. The inspector met two relatives who were visiting the home who lived out of the area and told the inspector that they couldn’t say enough about the quality of care provided. They described staff as ‘wonderful’ and said that they felt their relative was well cared for and that they could return home safe in the knowledge that their relative was safe and well cared for. Care staffs approach towards residents was observed to be sensitive and caring at all times. What the service does well: Beenstock House is situated in a fairly large sheltered housing complex, despite this it has a relaxed and friendly atmosphere and offers a flexible routine based around the needs of the residents. The home is well established within the area and has good support from the local Jewish communities. There is a structured programme of activities on offer and residents have the choice of joining in or choosing to spend their time as they please. Residents appeared to be well cared for and supported by a trained and competent workforce. Care staff had a relaxed and friendly approach towards residents and good banter between staff and residents was evident. Residents spoke positively about their time at the home and spoke highly about care staff at the home. Care planning and assessment procedures were through and provided a good basis on which care was to be provided. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 6 Residents were complimentary about the food provided and were pleased with the choices on offer. What has improved since the last inspection? What they could do better: Medication risk assessments were limited and need to be developed further to include a detailed assessment of a resident’s ability and understanding to manage their medication. The home did not always follow a thorough recruitment procedure. The registered manager needs to ensure that this procedure is followed for every new member of staff that the home employs to ensure the protection of the service users. The staffing arrangements at the home need to be clarified with regard to those staff, which supports residents and those who support tenants living in the sheltered housing areas of the home. The registered manager should consider the way in which the home currently stores assessment information held in respect of residents and the security of the present arrangements. The home stated that they had a fire risk assessment, however this could not be confirmed at the time of the inspection. Please contact the provider for advice of actions taken in response to this Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 8 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.V276150.R01.S.doc Version 5.1 Page 9 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): 1, 2, 3 and 4. Service users care needs were fully assessed before admission and they satisfied with the care provided. EVIDENCE: Since the last inspection the home had put a Statement of Purpose and a Service User Guide in place. This information was given to new service users before their admission. One service user who had recently been admitted to the home confirmed that she had received information, which had assisted her in making her decision to move into the home. Individual service user agreements were in place for all service users, which detailed the terms and conditions of their stay. It was the practice of the home that service users were assessed prior to their admission. Assessments were obtained from social workers and health professionals if they had been involved in the admission and no service users were admitted to the home without their care needs having been assessed. The home also completed its own care needs assessment prior to admission. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 10 A selection of service user files were examined. Service users files were observed to contain a sufficient amount of assessment information in respect of each service user and information held was both detailed and comprehensive. Service users told the inspector that they were quite satisfied with the way in which the home met their care needs. Care staff demonstrated a good understanding of service users care needs. Relatives with whom the inspector spoke said that they felt their relative was well cared for and that they could return home safe in the knowledge that their relative was safe. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 11 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. Service users health and personal care needs were identified in care planning and met by staff. EVIDENCE: Each service user had a care plan. Care plans were detailed, individualistic and were developed from information obtained during the assessment process. Daily records provided a clear account of how service users had spent the day and the care they had received. At the last inspection the home had been given a requirement in respect of service users care plans. The registered manager was required to review all service user care plans and to ensure that the service user care plan included a plan for the administration of medication. At the time of this inspection it was observed that all care plans included how service users medication needs were being met. Care plans were stored along with moving and handling assessments, weight charts, daily records and a review sheet. Falls risk assessments had also been put in place since the last inspection. Care plans were reviewed on a monthly Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 12 basis or sooner if required and any changes needed were made. There was evidence that as far as it was possible care plans were drawn up with a service users and their relative. A requirement was made at the previous inspection that risk assessments must be in place for all service users who managed their medication. Since the last inspection the registered manager had put risk assessments in place for those service users who managed their medication. However whilst risk assessments had been completed which highlighted the potential risks they did not clearly identify the means of addressing the risk. There was no overall assessment of a service users understanding and ability to manage their medication and the arrangements for the safe storage of the medication in service users bedrooms. Beenstock House had specialist equipment in place to meet the needs of service users. Service users confirmed that they had access to GP support, district nursing services, optician and chiropody services when required. Medication was provided in the monitored dose system, this was stored appropriately and medication records were accurately maintained. The home had a secure dedicated refrigerator for the storage of medication requiring refrigeration; the temperature of this refrigerator was monitored and recorded on a daily basis. Service users told the inspector that staff treated them well and they were very satisfied with the care they received. Care staffs approach towards service users was observed to be respectful, sensitive and caring at all times. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 13 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. The day-to-day routine of the home including mealtime arrangements was relaxed and informal and met service users needs and expectations. EVIDENCE: The day-to-day routine of the home was relaxed and flexible with some service users preferring to spend time in their rooms and others using the lounge areas. Service users said they could get up and go to bed at times that suited them and that the day was theirs to spend how they choose. The home was situated next to a synagogue. Residents’ religious needs were met through ease of access via a path that ran from the home directly to the synagogue. One service user told the inspector that staff assisted him to attend prayers each day at the Synagogue. Social interests and religious activities were recorded in service users care plans. 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. Service users were very pleased with activities on offer at the home and one service user said that activities provided were very good and that there was always something different happening each day. Posters Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 14 advertising the weekly and daytime activities were displayed around the home in English and Hebrew. Visitors were made welcome at the home and service users kept in touch with family and friends. Service users confirmed that they could have visitors at all times. 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. Mealtimes were flexible. Breakfast could be served in service users bedrooms or in the dining room areas. Meals provided offered varied, healthy and culturally appropriate choices. Service users said that the food was good. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 15 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. Service users felt confident that their complaints would be taken seriously and acted upon. Staff had undertaken appropriate training in adult protection, which ensured the protection of service users. EVIDENCE: The home had a detailed complaints policy and procedure; there had been no complaints since the last inspection. Service users told the inspector that they knew who to complain to and felt that their complaint would be dealt with in a suitable manner. One service user told the inspector that she had no reason to complain and that she was quite satisfied with the care provided. The home had a copy of Salford Council’s Protection of Adults from Abuse Policy. Staff confirmed that they had read the policy and said that the manger had put a tracking system in place to ensure that all staff had read the policy, which was then discussed in supervision sessions with staff individually to assess their familiarity with its contents. The home had a procedure for responding to allegations of abuse. The majority of staff had completed training in the protection of vulnerable adults. Further training was planned for the 8th February 2005. Care staff on duty at the time of the inspection demonstrated a good understanding of issues around adult protection. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 16 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, 24 and 26. The home was well maintained and provided comfortable living accommodation for service users. EVIDENCE: The home was well maintained throughout and provided comfortable accommodation. The grounds of the home were well kept and attractive. The home was clean, tidy, bright and airy throughout and was free from any unpleasant odours. A number of service users rooms were seen, these were also furnished and equipped to a comfortable standard, many had been personalised by the occupants, with many of the service users being quite self contained in there own rooms. Service users were offered a key so they could lock their rooms. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 17 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, 29 and 30. The home was staffed with a staff group that was trained to undertake their duties. The procedures for the recruitment of staff at the home were not robust and thorough enough. EVIDENCE: At the time of the inspection the home was sufficiently staffed with a staff group that was trained to meet the assessed needs of service users. A staff rota showing, which staff were on duty was kept at the home. 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. It was the responsibility of the registered manager, deputy manager or other designated member staff on duty to make telephone contact with the tenants in the sheltered flats at Beenstock House each morning, a member of the care staff was then allocated duties of assisting those tenants that required any assistance. A requirement was made at a previous inspection that there was separate allocated staffing for the residential home and for the domiciliary care service. The management of the home was required to provide the Commission for Social Care Inspection with a staffing plan that demonstrated separate allocated staffing for the residential home and domiciliary care services. The deputy manager informed the inspector that this had not been actioned. This requirement remains outstanding. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 18 Since the last inspection five new members of staff had commenced employment at the home. Recruitment files were made available for inspection. However it was observed that not all the required documentation in respect of newly employed staff was in place, for example not all files had two references and not all files contained a photograph of the employee. The registered manager had not followed appropriate recruitment procedures with regard to newly appointed staff. Since the last inspection the registered manager had reviewed staff training files and staff files now contained training information, which confirmed that staff had undertaken mandatory training. Care staff also confirmed that they had undertaken further training to assist them in their role as carers and new staff had completed a period of induction at the commencement of their employment. Additional training had been provided in dementia care, protection of vulnerable adults, medication and healthy hips and heart. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 19 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): 35, 36, 37 and 38. The home was well managed for service users and care staff were appropriately supervised. The health and safety of staff and service users was safeguarded. EVIDENCE: A requirement was made at the previous inspection that policies and procedures must be in place to ensure systems existed to manage service users finances if the situation arose. The general manager advised the inspector that the home did not have any involvement with service users finances; these remained the responsibility of service users or their relatives. Small amounts of money were held for service users to purchase small items. The general manager advised that systems were in place to ensure the safe handling and storage of service users monies. Records were not available at the time of the inspection to confirm this practice. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 20 Staff received regular supervision to support them in their work and records of such meetings were made available at the time of the inspection. At a previous inspection it had been a requirement that all records containing personal information were kept in a safe and secure environment. At the time of the inspection it was observed that files containing personal information about service users were stored on shelves in the care staffs reception area. This area was open and could be accessed by staff, service users and visitors to the home. Information held in respect of service users must be securely maintained in accordance with the Data Protection Act 1998. Since the last inspection the registered manager had reviewed a number of policies and procedures. Staff had updated their training in safe handling and moving procedures, fire safety, food hygiene and health and safety. The home complied with the requirements of the fire authority and maintained records in respect of fire safety at the home. At a previous inspection it was observed that the home did not have an up to date fire risk assessment. An immediate requirement was made to the effect that advice from the fire authority must be sought on the completion of a fire risk assessment for the home. Since the last inspection the registered manager had liaised with the fire authority with regard to a fire risk assessment. The deputy manager informed the inspector that a risk assessment had been completed, however this was not available at the time of the inspection. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 21 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 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X 3 X X 3 STAFFING Standard No Score 27 2 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 3 2 2 Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 OP9 Regulation 13 Requirement Timescale for action 05/02/06 2 OP27 18 3 OP29 Schedule 2 4 OP38 23 The registered person must ensure that service users who wish to manage their own medication are assessed as to their ability to do so, before medication is provided to them. Assessments must then be repeated on a regular basis. (Timescale of 10.12.05 not met). The registered person must 05/04/06 provide the Commission for Social Care Inspection a staffing plan that demonstrates that there is separate allocated staffing for the residential home and the domiciliary care services. (Timescale of 10.01.06 not met) The registered person must 05/04/06 ensure that all records held in respect of persons working a the home as listed in Schedule 2 of the Care Homes Regulations 2001 are in place before a member of staff is employed at the home. (Timescale of 10.01.06 not met.) The registered person must 05/04/06 ensure that an up to date fire DS0000008355.V276150.R01.S.doc Version 5.1 Beenstock House Page 23 risk assessment is in place at the home. 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 OP37 Good Practice Recommendations The registered person should ensure that all records containing personal information are kept in locked cabinet in a safe and secure environment. Beenstock House DS0000008355.V276150.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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.V276150.R01.S.doc Version 5.1 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. 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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