Inspection on 19/06/07 for Bellefield Residential Home

This inspection was carried out on 19th June 2007.

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.

Other inspections for this house

Bellefield Residential Home 25/08/06

Bellefield Residential Home 10/01/06

Bellefield Residential Home 05/10/05

Bellefield Residential Home 13/10/04

Bellefield Residential Home 21/04/04

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 Bellefield Residential Home 42 Aysgarth Avenue Liverpool Merseyside L12 8QT Lead Inspector Lorraine Farrar Unannounced Inspection 19th June 2007 11:15 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 Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bellefield Residential Home Address 42 Aysgarth Avenue Liverpool Merseyside L12 8QT 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) 0151 259 4397 bellefield@highfield-care.com www.southerncrosshealthcare.co.uk Southern Cross Care Homes No 2 Limited Mrs Paula Gresham Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31) of places Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2006 Brief Description of the Service: Bellefield Residential Home provides accommodation and support for up to 31 people over the age of 65. It is owned and run by Southern Cross, a national organisation who operate a number of care services across the country. Staff are available to support residents 24 hours a day and meals and laundry services are provided. Bellefield does not provide nursing care for the people who live there. Accommodation is provided over two floors with a lift available to access the first floor. On the ground floor there are 2 lounges, a dining room and conservatory. Eleven of the 29 Bedrooms are en-suite and bathrooms and toilets are available on both floors. There is some on road parking to the front of the home, with a small seating area and car park located at the rear. Bellefield is situated in a residential area of West Derby in close proximity to local shops and amenities. There is access to public transport nearby. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Information for this inspection was gathered in a number of different ways. An unannounced visit took place for 6.45 hours on the 19th June 2007. This included reading records and looking at the building. Time was spent looking at the support three of the people living at Bellefield receive. This included looking at the support they get with their care plans, medication, money, activities and environment. The inspector had discussions with four of the people living at Bellefield and met with other people living there. Discussions also took place with three visitors and four members of staff, including the manager. Any information the Commission for Social Care Inspection (CSCI) has received since the last inspection about the home is also taken into account in writing this report. This includes information provided by the manager on a pre-inspection questionnaire. It costs £315.50- £453.00 each week to live at Bellefield. What the service does well: Residents and their relatives said that they like Bellefield and the staff who work there, with one relative commenting that it is a “home from home” and others that they are always welcome to visit. Residents said there are enough staff to help them when they need it and that staff are always helpful, friendly and polite. Before anyone moves into Bellefield the manager ensures that enough information is provided to them and obtained about their support needs, to ensure that staff can support them and that the home is suitable for them to live in. Residents are supported with their personal and health care and to see healthcare professionals, when needed. Up to date care plans and assessments are in place, which provide clear guidelines for staff to follow, this ensures residents get the support they need in a way they prefer. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 6 Information about the homes complaints procedure is freely available and residents and their visitors said that they know how to use this and are confident to do so. One resident commented, “I feel safe here”. Staff receive training to recognise and act upon any potential adult protection issues. This helps to make sure the people living at Bellefield are safe. The home is clean, nicely decorated and comfortable. A range of aids and adaptations are provided to support people with their mobility. Bedrooms can be personalised by the person occupying them and visitors can be seen in private or communal areas, as the resident prefers. What has improved since the last inspection? What they could do better: The way in which residents monies are managed needs to be improved. Clear receipts need to be obtained for purchases arranged by the home and these should be witnessed. Residents’ monies should not be held in an account belonging to the home and the weekly allowance owed to them from their benefit money must be paid to them as soon as the company receive it. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 7 A review of the way in which residents are supported at mealtimes and with activities should be carried out to ensure that they are getting the support they need in a way that they prefer and that they are able to participate in activities they enjoy. Residents should be offered the opportunity to discuss and be involved in writing their care plans. This will provide them with a way to discuss any issues they may have. All staff who provide support to residents with their personal care should have up to date training in moving and handling people. This will help to make sure that they are using the correct techniques and not putting themselves or residents at risk. An audit of staff files needs to be undertaken to ensure that all staff have up to date checks in place and that they are suitable to work with vulnerable people. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 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 Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information gathered about and provided to future residents, helps everyone to decide if Bellefield can meet their needs and choices and is the right place for them to live. EVIDENCE: Care records were looked at for three of the people living at Bellefield. These showed that before the service agreed to anyone moving in, they met with the person to assess the care and support they need and to prepare an initial care plan. This information was gathered with the person, other care professionals and if applicable their relatives. Information was gathered about the persons’ health, their personal care needs and their likes and dislikes. A copy of the persons’ assessment and care plan from their Social Worker was also obtained. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 10 The level of information gathered helps to ensure the service can meet the persons needs and can cater for their likes and dislikes. It also provides information so that an initial care plan can be written for staff to follow when supporting the person. One pf the people living there explained that his son had looked around the home before he moved in. The relative of another resident explained they had visited the home, discussed their relatives care needs and been provided with a booklet about the service. This information and the fact that people can visit, helps them to decide if Bellefield will be a suitable place for them to live. Bellefield does not provide an intermediate care service. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Bellefield receive a good level of support to meet their personal care and health care needs and maintain their privacy and independence. EVIDENCE: One of the people living at Bellefield said that she was, “very happy with the care I get”. Individual care plans are in place for all of the people living at the home, three of which were examined during the site visit. All had been regularly updated and reviewed to ensure the information was still accurate. They included a short-term care plan for one resident, which provide staff with guidelines to support them following a recent fall. Plans contain information about the support the person needs with their health, personal care and social needs. There is sufficient detail recorded in Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 12 the plan to ensure that staff are aware of the support the person needs and also how to support them to maintain their independence. Assessments and risk assessments are in place for areas of people lives that could pose a risk to their wellbeing. These include, pressure areas, risk of falling, nutrition and weight and risks associated with going out unaccompanied. Where a risk assessment records a level of risk for the person, measures to lessen or prevent the risk have been recorded and a care plan written for staff to follow. For example a plan to support one person in preventing pressure sores, lists their hygiene support needs, support from a District Nurse and use of a specialist mattress. Support for another resident going out alone stated that they had details of the home to carry with them in the event of an incident occurring. These assessments and plans, which are regularly updated, help to ensure residents can stay as healthy as possible and maintain their independence whilst lessening any risks and getting the support they need. One resident said that they had not seen their care plan, whilst another said they did not want to look at their care plan as, “if I needed help I would get it”. The relative of another resident explained that she was aware of her relatives care plan and was invited to attend care reviews, further explaining, “I can’t fault the care my Mum gets”. A relative said that before living at the home her relative had some health issues. She explained that since moving into Bellefield, this had got better, explaining, “ it’s been a positive move”. Records showed that the home arranges health appointments for residents and will attend these with them. Medication is stored in a locked room with individual records maintained for each resident. Senior staff have received training in dealing with medication and the manager arranges for regular audits of medication to be carried out to ensure it is managed correctly and that any errors can be quickly identified and acted upon. Medication examined during the visit had been stored and recorded correctly. One of the people living at Bellefield said that staff help her with her personal care when she needs it and that she can choose when to get up and go to bed, explaining that, ““they do give you privacy, they are very good”. Staff were seen to knock on peoples doors and wait before entering and to speak in a friendly but respectful tone of voice to residents and their visitors. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at Bellefield are able to make choices in their daily lives, however the service does not always offer people the opportunity to occupy their time in a way they enjoy. EVIDENCE: An activity coordinator is employed to work at Bellefield but had been off for some time before and during the site visit. Residents views of activities were mixed with one explaining staff organise activities such as, “music and bingo” and others saying that they don’t do any activities or have not seen any regular activities advertised. A visitor explained that they would like to see more entertainment’ but that there is “the usual pub, garden, meal out, theatre, sports day” and that she can accompany her Mum if she wants. During the site visit staff were supporting people to watch a video and take part in a sing-along. Forthcoming events were advertised on the notice board and included, a sports day and a summer ball. A member of staff explained that these take place in a local school hall and are attended by people living at a number of nearby care homes operated by Southern Cross. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 14 Although care plans give information about peoples social likes there were few records of any activities they had been offered in the past few weeks. A number of residents had visitors during the site visit and were seen to entertain them in communal areas or the privacy of their room as they chose. Two visitors explained that they are able to visit whenever they want and are made welcome by the staff team. Residents said that they can make their own choices about things in the home, including the support they get from staff, and the times they get up or go to bed. Meals in the home were described by residents as, “alright, sometimes better than others” and “okay.” Records showed that people are offered a choice of meals each mealtime and that these offer a variety of foods. One of the people living there explained that menus were recently altered following a residents meeting, where it was decided that a main meal would be available at both lunch and tea times along with a lighter meal. The manager explained that they are in the early stages of introducing a computer system the organisation have arranged, this allows staff to input all menus, including those for health or cultural diets and obtain a summary of how healthy they are. There were sufficient stocks of food available including fruit and vegetables and these had been stored correctly. Staff have recently introduced a map of the world to the dining area. The manager explained and a resident confirmed that they plan to ‘visit’ a different country each week. For example they recently visited Devon and had cream scones and have plans to ‘visit’ Belgium and Italy and serve appropriate food. Preparations for the lunchtime meals were observed. Meals served to people in their rooms were taken to them on a covered tray to ensure they were warm when they arrived. The dining room had been nicely laid out with table clothes and serviettes in place. However everyone in the dining room was given a bright plastic beaker to drink cold drinks from and had their cup of tea served from a large flask. Although some people may require a plastic beaker, it is unlikely that everyone is unable to use a glass and that more suitable containers for adults could not be found. The use of a large flask to serve tea appeared impersonal and takes away the independence of people who may be able to use a teapot. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 15 Staff in the dining room appeared busy and slightly disorganised. A resident later expressed the view that, they would like to see meals better organised, so some people “don’t get left out” explaining that “some get served before others” and meals “can be chaotic and other times work well”. The manager stated that she was aware of these issues and looking at ways to address them in order to improve mealtimes for people. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people living at Bellefield are confident that any concerns they have will be listened to and acted upon by the staff team. EVIDENCE: There is a complaints procedure in place at Bellefield, details of which are advertised for residents and visitors via the homes brochure and a notice board in the hallway. Policies are also in place, for staff to follow on equal opportunities, bullying and harassment, whistle blowing and protection of vulnerable adults. Records and discussion with staff showed that they undertake training in dealing with any concerns or allegations and in recognising possible adult protection issues. This helps to ensure that concerns raised by or on behalf of the people living there are dealt with swiftly and effectively. Residents and relatives spoken with were generally aware of how to raise any concerns they had. One person explained they were confident to raise any issues with the manager or staff and another person stated, “Its pleasant here, I feel safe”. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Bellefield provides a clean and comfortable home for people to live in. Some decoration is needed to minimise risks to people’s health and safety. EVIDENCE: One of the people living at Bellefield described it as “clean and warm” and another explained they have “a very nice room”. There is one double bedroom in the home, which is currently used as a single room. The other twenty-nine bedrooms are single rooms, eleven of which provide en-suite bathroom facilities. There are bathrooms, toilets and bedrooms on both floors of the home with a lift providing access to the first floor. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 18 On the ground floor there are two separate lounges, a dining room and conservatory for use by the people living there. The television sets in both lounges were on during the site visit and both had an unclear picture, making them difficult to watch. These communal rooms provide sufficient space for the people living there to move about and sit down comfortably. They were clean, comfortable and nicely decorated. Outside there is a small seating area at the back with a small car park available. Aids and adaptations are available throughout the building to help people with their mobility. These include, rails, a lift, bath, shower and toilet chairs, adapted bath and buzzers to summon staff help. Three bedrooms were visited during the site visit, all were clean, nicely decorated and had been personalised by the person occupying them. The kitchen and laundry rooms were also visited, these were clean and well organised with cleaning schedules and equipment in place to prevent outbreaks of infection. However the paint was peeling off the ceiling in the kitchen. As a food preparation area this could fall into meals being prepared and served to the people living there and present a risk to their health. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people living at Bellefield like the staff who support them and are confident they can meet their needs. Further training for staff would ensure that they are fully equipped with the skills needed to meet peoples support needs safely and effectively. EVIDENCE: The people living at Bellefield said that they like the staff team with one person describing them as, “very helpful and pleasant”. They also said that there are always enough staff about to help them when needed, with one person explaining “there’s always someone. They are very good, capable and kind”. Not all staff hold a care qualification. The manager explained in her pre inspection questionnaire that 35 of staff currently hold an NVQ in care with further training planned. This qualification helps to ensure staff have the knowledge and experience to support people correctly. Records were looked at for 5 members of staff including newer staff and those in senior positions. All contained copies of the person’s application form and two written references. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 20 However only two contained sufficient evidence that a Criminal Records Bureau (CRB) check had been carried out on the person and one had no evidence that a check had been made on the register for people unsuitable to work with vulnerable adults. A note had been made on the file that the CRB was clear, however there was no record of the date it was obtained or the disclosure number. These checks along with references need to be carried out and recorded to ensure that staff are suitable to work with people who can be vulnerable and that they are not placed are risk from unsuitable staff. Records and discussions with staff showed that they are offered the opportunity to undertake training relevant to their work. Recent training has taken place in care planning, safe use of bed rails, fire and protection of vulnerable adults. Not all care staff have had recent training in the moving and handling of people. This lack of up-to-date training may mean staff are unaware of or are not using, safe handling techniques, which could be a risk for themselves and residents. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Bellefield is generally operated safely and for the benefit of residents. However the way in which residents’ monies are managed does not ensure they are financially protected. EVIDENCE: Mrs Paula Gresham is the registered manager of Bellefield. She has several years experience of managing a care service for older people and holds qualifications in care. She is currently working towards obtaining a management qualification, which will provide her with opportunity to develop her management skills further. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 22 A member of staff spoken with described the manger as “approachable” and a resident explained “she always answers any questions, you can talk to her anytime”. There are a number of systems in place within Bellefield to monitor the quality of the service they offer. This includes audits of medication and observations of staff dealing with medication. Care plans and records are reviewed regularly to ensure they are up to date and applicable. A senior manager from the organisation visits regularly to carry out a detailed audit of the service, this includes speaking with residents and examining a selection of staff training records, care records, health and safety and the environment. Once completed any areas for improvement are noted and an action plan provided. These audits help the manager and staff team to ensure that Bellefield is providing a good service, which meets people’s needs and choices. They also provide a way to quickly identify and deal with any issues that arise. A safe is provided at Bellefield for people to store their money safely. The organisation currently acts as appointee for five peoples benefit money. Once their fees are paid people are entitled to a weekly allowance from their benefits. At the time of the site visit this money had not been paid to them for four weeks. The manager and administrator explained this was due to a head office move and they had been advised it would be paid at the end of the week. The money is currently paid into and held in an account titled ‘Bellefield’ which is managed by the organisation. This practice does not fully protect resident monies, as it is not in an account belonging to them. The manager advised that they are in the process of setting up a ‘residents’ account to resolve this issue. Once money is received for a resident it is logged onto a computer system, which lists peoples individual income and expenditure. Some receipts are kept for residents, however a receipt for one residents hair cut was not available. Other receipts arranged by the home, for example from the hairdresser do not provide sufficient details to ensure the accounts can be audited and that monies are spent appropriately. For example receipts for hair cuts list only the persons first name, are not witnessed or signed by the hairdresser and do not list the work carried out. The manager stated in the pre inspection questionnaire that all health and safety records and certificates were up to date and satisfactory. A sample of these were examined during the inspection and found to be in order. These checks help to ensure Bellefield is a safe place for people to live and work in. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 23 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 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 2 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 1 X X X 3 Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP19 Regulation 23(2)(b) Requirement Timescale for action 19/08/07 The kitchen ceiling must be repaired and re-painted. This will ensure that paint flakes do not fall onto food preparations areas and cause a risk to peoples health. 2. OP19 23 (2)(c) Televisions must be checked and work carried out to ensure that they provide a satisfactory picture for people to watch. 3. OP30 18(1)(c) Moving and handling training must be provided for all applicable staff. This will ensure that staff are aware of correct techniques and lessen any risk to themselves and residents. 30/08/07 30/07/08 Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 25 4. OP29 19(1)(b) Staff files must be audited to ensure they all contain evidence of safety checks, including CRB and POVA checks for the staff member. This will help to ensure unsuitable staff do not support residents. 19/08/07 5. OP35 17(2) 13 (6) 19/08/07 - An audit of residents’ monies and receipts must be carried out. - Monies owing to residents for their personal allowance must be paid to them. - Receipts obtained by the home must provided sufficient details to enable them to be checked and audited. This will provide a clearer audit trail to ensure residents’ monies are managed safely. 6. OP35 20(1)(a) Residents’ monies must not be held in a company account. This will ensure residents’ money is managed safely. 30/09/07 Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 26 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 Wherever possible residents and where applicable, their relatives should be involved with and informed of the contents of their care plan. A record of this involvement should be maintained. This will provide people with the opportunity to discuss their care and any issues they may have. 2. OP13 Activities provided in the home should be discussed with residents and reviewed to ensure they meet people’s choices. 3. OP15 A review of meal times should take place and be documented. This will ensure people get the support they want and their views are taken into account when changes are planned. 4. OP28 Support should be offered to care staff in obtaining an NVQ qualification in care. This will help to ensure they have up to date knowledge and skills to support residents effectively. Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bellefield Residential Home DS0000025330.V346159.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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