Inspection on 30/01/06 for Bellstone Residential Care Ltd

This inspection was carried out on 30th January 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 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

Bellstone Residential Care Ltd 05/03/09

Bellstone Residential Care Ltd 10/12/07

Bellstone Residential Care Ltd 13/12/06

Bellstone Residential Care Ltd 12/10/05

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Bellstone Residential Care Ltd 23-29 Beach Road West Felixstowe Suffolk IP11 2BL Lead Inspector Helen Fontaine Unannounced Inspection 30th January 2006 11:00 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 Bellstone Residential Care Ltd DS0000064695.V281639.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. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bellstone Residential Care Ltd Address 23-29 Beach Road West Felixstowe Suffolk IP11 2BL 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) 01394 278480 01394 276597 Bellstone Residential Care Ltd Mrs Amanda Laine King Care Home 22 Category(ies) of Dementia - over 65 years of age (1), Old age, registration, with number not falling within any other category (22) of places Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 1 The Home is registered for one named service user with dementia (DE E), as detailed in correspondence dated 27.12.04 12th October 2005 Date of last inspection Brief Description of the Service: Bellstone care home is situated close to the sea front in Felixstowe. The home is registered to provide care for a maximum of 22 older people. The home has a condition of registration to provide care for one named service user with Dementia. The home provides a television room at the front of the house with a sun lounge to the rear, through which the garden can be accessed. There are two dining rooms. The garden is small yet attractive with a lawn, seating and borders with plants and a water feature. There are sixteen single rooms and three shared rooms. Each room is furnished and centrally heated. There is a call bell system throughout the home. Access to the first floor is by two staircases, which have stair lifts, or by passenger lift. There is wheelchair access into and around the home. Service users are able to access hairdressing, chiropody, optician and dental services. The mobile library and church representatives regularly visit the home. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of Bellstone Residential Care took place over four hours and was the second statutory inspection visit in the inspection programme for 2005/6. Over the course of the two visits, all core standards have now been assessed. Seven requirements and two recommendations were set at the previous inspection and the home has complied with all of the required action. No further requirements were identified at this inspection and only one recommendation was given The manager was present during the inspection and assisted the inspector, a number of documents were looked at and a number of residents spoken to. One resident kindly agreed to talk to the inspector individually and one member of staff was spoken to. What the service does well: What has improved since the last inspection? The residents now have a statement of terms and conditions, with a contract if the resident is privately funded. The residents or their representatives had signed the statement of terms and conditions. The home had undertaken an assessment of need prior to admission and this was seen as having been signed by the person concerned or their relative. The home has in place a safe system for administering disposal, handling and storage of homely remedies. The manager has contacted GP’s and the Community Pharmacist has assisted the home in writing a policy and implementing it. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 6 All the residents files looked at had a risk assessment for the use of the stair lift, as well as moving and handling. The staff files looked at had all the necessary documentation and the manager was very pleased that the newest member of staff’s Criminal Record Bureau (CRB) check had come through much quicker than she was expecting. The home has developed quality assurance questionnaires for the residents, GP’s, other professionals, visitors and relatives. The manager said they will be giving these out very soon and from this the home will be able to assess other people’s view of the home. The manager said all staff tests the temperature of the hot water with a thermometer before the residents have a bath. The water temperatures are regularly checked and documented and the inspector checked the water temperature of the hot water during this inspection and it was found it to be 43° C. The home have a new washing machine that has a sluicing facility and the manager said that they were really pleased with it. A recommendation at the last inspection about a procedure for the soiled laundry on the wall in the laundry should be changed, has now been done. The homes fire log, which was observed at the last inspection to be falling apart, has been replaced with a new folder. 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. Bellstone Residential Care Ltd DS0000064695.V281639.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 Bellstone Residential Care Ltd DS0000064695.V281639.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): 2 and 3 Residents can expect to have a contract and statement of terms and conditions. New residents will be assessed and be assured that the home can meet their needs. EVIDENCE: The home’s contract and statement of terms and conditions was looked at during the inspection. This was prepared on the home’s headed paper and the contract commenced with a statement about the aims of the home. The contract documented the areas of residency, trial period, permanent residence, termination, absence, the fees and the details of the resident’s room as an example of some of the areas. The document had a sheet at the back with the Commission for Social Care Inspections (CSCI) contact details. Two of the contracts for the newest residents were looked at and one resident moved into the home on 7th January 06 and it was signed on 10th January 06. The other resident’s file looked at was still waiting for the relative to sign and return it. The pre-admission assessment seen for the newest resident had been completed while the resident was in hospital. The pre-assessment form had the resident’s personal details and who their social worker was. It also Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 9 documented the current prescribed medication and past medical history. The areas covered included personal and physical care covered, well-being, washing, dressing, bathing, communication, sight, hearing, continence, mobility and other areas such as history of falls. The next page headed mental health and well being and covered such areas as conversation. For this particular resident it was documented that their conversation was good. The assessment also covered were hospital follow up and if transport is needed. The involvement in domestic tasks and then issues like hobbies were documented and noted that the resident likes to watch TV and likes to read. A relative and the manager of the home had signed the pre-admission assessment and contract. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 10 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): 9 and 11 Residents can expect to be safe guarded by the home’s medication policies and practices and also be assured that at the time of their death they and their families will be treated with respect. EVIDENCE: At the previous inspection the home was given a requirement about their system for administering, disposal, handling and storage of homely remedies. The manager said that they contacted all the residents GP’s, to get signatures about residents taking homely remedies. The manager said that only one of the GP’s responded; the others said that it was not necessary however the community pharmacist has supported the home with the development of a new policy. The policy titled Homely Remedies again on the home’s headed paper documents the policy statement and covers the Medicines Act 1968, the Misuse of drugs act 1971. The document details guidelines for the administration of medicines and states all homely remedy medicines should be stored in a locked medicine cupboard. The policy also states that only medicines relate only to the medicines from the approved homely remedy medicines list can be given. At the end of the policy the manager had signed the document and it was dated 21st January 2006. The document then had a section that the manager said the community pharmacist had helped the manager to develop. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 11 The issue about the wishes of the residents at the time of their death and that the staff will treat them with care, is covered during the initial assessment. The manager makes sure that the resident’s wishes are documented, whether the resident’s personal wishes for example, whether the resident wants to be cremated or buried or any special requests relating to religion is documented. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 12 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): These standards were not inspected during this visit. However evidence from the last inspection was that, residents can expect to live in a home that supports a life style that matches their expectations. Residents can expect to receive a good standard of fresh and appealing food with a wide variety of choice as part of their daily diet. EVIDENCE: This area will be examined in more detail in future inspections. These standards have been previously assessed as well met and during the inspection no concerns were raised or noted. Bellstone Residential Care Ltd DS0000064695.V281639.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 Service users felt confident that the home’s management would take concerns or complaints seriously. EVIDENCE: During the inspection one of the residents was spoken to individually, they explained that they had lived in the home for sometime and their relative had moved into the room next door. The resident if they had any complaint or concern they would feel confident to tell either a member of staff or the manager and were confident that they would be listened to and their concern would be dealt with. The home’s terms and conditions documents how to complain and a copy of this is in each of the residents rooms on a laminated card. This card informs the resident that every complaint will be acknowledged within two working days. The card also informs the resident that the home will investigate the concern and hopefully resolve it within twenty-eight days. The card also gives the Commission for Social Care Inspection (CSCI) contact details should the resident wish to pursue their complaint. The inspector looked at the homes complaint book and at the time of the inspection there was no complaints logged. Bellstone Residential Care Ltd DS0000064695.V281639.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): 22 and 26 Residents can expect to live in a home with specialist equipment to maximise their independence and that the home will be clean and pleasant. EVIDENCE: At the last inspection the home was given a requirement around the risk assessments for the residents using the stairlifts. During the inspection, resident’s documents were looked at and it was found that all the resident had risk assessment for the use of the stairlift. The risk assessment for two of the residents were looked at in more detail and documented that the residents needed support from a member of staff. The home has bought a new washing machine that has sluicing facilities and the manager said that they are all very pleased with it. The laundry room was looked at during the tour of the home and a new notice asks the staff to divide the laundry into loads dependent on colour and that soiled laundry is not to be carried through the dining area but is to be bagged and removed from the resident’s room straight to the laundry room and washed. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 15 During the tour of the home it was noted that the home was very clean and had a relaxed atmosphere. The residents spoken to during the tour were all happy to chat with the inspector. All of them commented on the good care and how much they enjoyed the food. The inspector overheard a member of staff asking the residents what they would like for afternoon tea. There was good interaction between the staff and the residents and quite a lot of laughter was heard. Bellstone Residential Care Ltd DS0000064695.V281639.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): 29 and 30 The residents can expect to be protected by the homes recruitment practices and the staff are sufficiently trained. EVIDENCE: The staff files were looked at during the inspection and the requirement from the previous inspection has been met. The newest member of staff’s file was seen and confirmed that the home undertook before the member of staff started a Protection of Vulnerable Adults (POVA) first check. There was also evidence that a Criminal Record bureau (CRB) check and two references had been received. The manager said that they were really pleased that the CRB check came back so quickly, the manager had expected this to take some weeks and the member of staff had taken some leave while they waited. The home’s staff training programme was seen and it was documented that the annual update for dementia and confusion had been done at the home. The home had the funding for four staff to do their National Vocational Qualification (NVQ) level 2 and the deputy manager has recently received the funding for them to undertake their NVQ level 4. The manager said that some of the staff have now completed their foundation course and this has been signed off. This will give the staff some of their units for their NVQ level 2. Other areas that staff have received training in included health and safety, fire safety, basic food hygiene, manual handling, first aid and care of medicines. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 17 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): 33, 37 and 38 The residents can expect to live in a home that is well run, that their rights and best interests are safeguarded. EVIDENCE: At the last inspection there were two requirements for this particular section of the standards. The first requirement related to the issue of quality assurance and quality monitoring and this was looked at during the inspection. The manager produced questionnaires that have just been printed and are ready to be sent out to staff, GP’s, District Nurses and other professionals, visitors and residents. The home have supplied the inspector with copies of these and it is recommended in this report the home now undertakes this exercise. The second requirement was around the water temperatures of the hot water. The inspector tested the temperature of the water in both the bath and the basin that the manager said was the subject to the requirement. The inspector found the bath to be at 44°C and the hand basin to be 40°C. It was noted that Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 18 a thermometer available and the manager said that all staff test the water before the residents have a bath. The manager has the water checks done every Friday and these were noted as of the 27th January to be 43°C, 39°C and 40°C. In addition to the two requirements the home had a recommendation around the fire log, which was getting old and looked as though it was falling to pieces. The manager produced a new red folder, this was laid out in a way that was easy to document information and easy to read. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 19 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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X 3 X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X 3 3 Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP33 Good Practice Recommendations The home carries out the quality assurance exercise and sends out their new forms. Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Bellstone Residential Care Ltd DS0000064695.V281639.R01.S.doc Version 5.1 Page 22 - 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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