Inspection on 24/08/05 for Belmont Court

This inspection was carried out on 24th August 2005.

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

Belmont Court 23/01/07

Belmont Court 22/03/06

Belmont Court 20/01/05

Belmont Court 30/06/04

Similar services:

Chirnside House

Sunny Bank (P.R.S.) Ltd

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Belmont Court Basil Street Heaton Norris Stockport SK4 1QL Lead Inspector Kathleen Mcall unannounced 24 August 2005: 11:15 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Belmont Court Address Basil Street, Heaton Norris, Stockport, Cheshire SK4 1QL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0161 477 1282 0161 480 6887 belmontcourt.org.uk Borough Care Limited Mrs Jean Hall Care Home 34 Category(ies) of DE(E) - Dementia - 34 registration, with number MD(E) - Mental Disorder - 4 of places Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19 January 2005 Brief Description of the Service: Belmont Court is a residential care home that is registered to provide specialist care for up to 34 service users who have dementia, including four service users with a diagnosed mental illness. Belmont Court provides permanent residential care, respite care and day care facilities for up to ten service users, available Monday to Friday. Day care facilities are located on the first floor with two members of staff being specifically employed for the day care unit. Mrs Jean Hall is the manager and has been in post since the 16th May 2005. Belmont Court is of 12 care homes owned by Borough Care Limited. Accomodation consists of thirty single rooms, seven of which are located on the first floor, and two double bedrooms located on the ground floor. There is one large lounge area, two small lounge areas and two dining rooms on the ground floor. The home is suitable for wheelchair users. A visitor’s kitchen is situated on the ground floor. A full passenger lift is in place. There are pleasant enclosed garden areas to the left-hand side of the building. The home is situated in Heaton Norris, close to Stockport town centre and motorway network. Public transport is easily accessible. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit, which took place over the course of a day. The registered manager was not available at the time of the inspection. The deputy manager assisted the inspector throughout the inspection process. Care plans, assessment documentation, medication and their storage were examined. The inspector spoke with a number of residents and had a discussion with two relatives who were visiting the home at the time of the inspection, and spoke with several members of staff including a volunteer who runs a ‘residents shop’ each Wednesday afternoon. Many of the residents of Belmont Court have had previous contact with the home usually via day care and respite care services and so were familiar with the home and spoke very positively about their experiences of Belmont Court. One resident on a short stay visit to the home said ‘I can recommend it to anyone.’ Day care service users told the inspector that they enjoyed visiting Belmont Court and one day care service user said ‘the place is good for us, it gets us out of our homes and gives our relatives peace of mind knowing that we are being well cared for.’ A number of other residents were unable to comment in detail on the quality of care they received due to their levels of dementia. Consequently the inspector spent time observing the practices of staff and the daily routine of the home and observed that staff approach towards service users was sensitive and caring and that service users appeared to be well cared for. One relative told the inspector that ‘the atmosphere here is more like a family than a care home’, and that he was always made to feel welcome, he believed the home was ‘well managed’ and described staff as ‘first class, kind and caring’. A relatives comment card was returned to the inspector which said ‘there is always a warm, friendly and welcoming atmosphere at Belmont Court’, ‘the motto of Borough Care is ‘Home from Home’; Belmont Court is as close as you can get.’ What the service does well: The home has a lively and busy atmosphere, with the main corridor of Belmont Court being a central focus and meeting place for service users. The main corridor runs the length of the home and leads to a large lounge area at one end, where activities take place and a smaller lounge area at the other end; there are two further sitting areas situated on this corridor. A number of residents like to walk along this corridor during the day, which is also used by Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 6 staff. This area of the home creates a lot of activity and stimulation for residents. The staff group at Belmont Court was a competent one who had a good understanding of residents care needs and were trained and supervised to undertake the role of carers. Care plans reflected what Service Userss care needs were. What has improved since the last inspection? What they could do better: Daily records kept in respect of residents were poor in that the information recorded by care staff did not give a full picture of how residents care needs were being met and did not demonstrate what care staff were doing for residents on a daily basis. The manager, senior care staff and care staff need to review the way in which they record information on daily records. The inspector observed that comfortable seating provided in lounge and other seating areas around the home was badly stained. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 7 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. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 standard(s) 2, 3, 4 and 5. Service users had been issued with a written contract and their care needs were fully assessed before admission. Arrangements were in place for service users and their relatives to visit the home and assess its suitability. The home met service users care needs. EVIDENCE: A selection of service user files were examined. It was observed that they contained a sufficient amount of assessment information concerning an individual service user, which confirmed that it was the practice of the home for all service users to be assessed prior to their admission; no service users were admitted to the home without having had their care needs assessed. Assessments were obtained from social workers if they had been involved in the admission. Borough Care had its own assessment documentation called the “key-working together document”; this was completed for all new service users irrespective of their funding arrangements. All service users resident at the home had a written contract which detailed the terms and conditions of their stay. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 10 Relatives with whom the inspector spoke were very appreciative of the efforts of the care staff in meeting their relatives care needs and were pleased that care staff kept them informed of any changes. The needs and preferences of service users were recognised and met by care staff. Arrangements were in place for service users to visit the home prior to their admission. In the first instance assessment documentation was completed with or obtained from the service user, relatives and professionals involved and then a visit to the home was organised. Service users could stay for lunch or longer. Some service users were already known to the home through their use of day care and respite care facilities. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 standard(s) 7, 8, 9 and 10. Service users health and personal care needs were identified and met. EVIDENCE: All service users had a care plan, that had been developed using assessment documentation and from discussions held with service users, their relatives and any other significant professionals. Care plans included health needs, personal care needs, mobility, social interests, and risk assessments and were reviewed on a monthly basis and any changes needed were included. Care plans seen were individualised to each service users care needs and all information was stored in one accessible document. However the amount and detail of information recorded on daily record sheets was poor and did not give a full picture of how serivce users care needs were being met. Belmont Court had specialist equipment in place to meet the needs of service users living there. GP’s and district nurses were regular visitors to the home. One relative said that the home always kept her informed of changes regarding her relative’s health and medication. Medication was provided in a Monitored Dose System, this was stored appropriately and medication records were accurately maintained. Senior staff Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 12 responsible for the administration of medication had undertaken training in the ‘Safe Handling of Medicines’. The majority of service users resident at Belmont Court were unable to comment in detail on the quality of care they received due to their levels of dementia. Consequently the inspector spent time observing the practices of staff and the daily routine of the home and observed that staff approach towards service users was sensitive and caring. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 standard(s) 12, 13, and 15. Service users lived in a stimulating environment and were encouraged to exercise choice and control whenever possible. Mealtime arrangements were well managed and satisfied service users expectations. EVIDENCE: The day-to-day routine of the home was varied and flexible. Service users could get up and go to bed at times that suited them. Staff encouraged service users to make choices about how they spent their time, whether they wished to join in activities or not, what they ate and what clothes they chose to wear. Service users interests were recorded on their care plans and a record of what activities they had taken part in was kept. At the time of the inspection a volunteer member of staff had opened and was running the residents shop. Service users were able to purchase toiletries and other items or staff and relatives could purchase items on their behalf. One relative told the inspector that she was quite satisfied with the range of activities on offer and appreciated care staffs efforts to take service users out on day trips. Oneservice user told the inspector that she enjoyed going into Stockport with staff and having a look around the shops. Another relative said that he had visited when the home held their ‘Saturday evening social’ and that this seemed popular with many service users. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 14 Visitors were made welcome at the home and service users kept in touch with family and friends. Meals were served at regular intervals and were usually taken in the dining room areas. A hot meal option was offered at both lunchtime and teatime meals with the exception of Sunday teatime when a cold buffet tea was offered. Staff were on hand to help service users with meals and meal times were unhurried. A number of service users told the inspector that they had enjoyed their lunch. One resident on a short stay visit to the home told the inspector that the ‘food was very good’. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 standard(s) 16 and 18. Relatives 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. Relatives with whom the inspector spoke said that they knew who to complain to if they had a problem and all felt confident that the problem would be resolved in a satisfactory manner. All added that they had never needed to complain and were very satisfied with the care that their relative was receiving. The home had a procedure for responding to allegations of abuse. All staff on duty at the time of the inspection had completed training in adult protection. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 standard(s) 19, 24 and 26. The home was well maintained and provided comfortable living accommodation, however comfortable seating provided within the home was in a poor condition. EVIDENCE: The home was well maintained and provided comfortable accommodation. However it was observed that comfortable seating provided in lounge and other seating areas around the home were badly stained. A number of service users rooms were seen, these were furnished and equipped to a comfortable standard, many had been personalised by the occupants. Since the last inspection new flooring had been fitted to two service users bedrooms The grounds of the home were well kept and attractive. Since the last inspection new flooring and carpet had been fitted to corridor and staircase areas at the home. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 17 The refurbishment of the laundry had been completed including the fitting of a new washer and dryer. A new lift had been installed in the home. At the time of the inspection the home was clean and tidy. Bedroom A5 had an odour problem, however communal areas of the home were free from unpleasant odours. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The home was sufficiently staffed with a staff group that was trained to undertake their duties, and recruitment procedure ensured that service users were protected. EVIDENCE: At the time of the inspection the home was sufficiently staffed to meet the needs of service users. A staff rota showing which staff was on duty and in what capacity was kept at the home. Agency staff were used periodically. Staff appeared to have a positive relationship with the service users. One relative with whom the inspector spoke described staff as ‘first class, kind and caring’. The home followed a thorough recruitment procedure in regard to both newly appointed and long term staff at the home. Care staff on duty at the time of the inspection confirmed that they had undertaken further training to assist them in their role as carers. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35, 36 and 38. Staff were supported and supervised in their work. Health and safety issues at the home were addressed. EVIDENCE: The home had a policy of not managing service users monies and did not act as appointee for any service users. All service users had a relative or a representative who dealt with their finances. Small amounts of cash were kept for individual service users for day-to-day expenses ie. hairdressing costs. All service users had a secure facility in their bedrooms for personal items, although service users were encouraged to leave anything of great value with their relatives or friends. Staff confirmed that they received regular supervision and written evidence to support this was made available at the time of the inspection. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 20 Staff had updated their training in safe handling and moving procedures, fire safety, food hygiene and health and safety. The home maintained records in respect of fire safety at the home. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 3 3 x 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 2 x 2 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x 3 3 x 3 Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP24 Regulation 13(4)(c) Requirement The registered manager must arrange for comfortable seating provide in the home to be cleaned or replaced. (Timescale of 19.02.05 not met.) The registered manager must take measures to resolve the odour problem identified in bedroom A5 and keep the home free from offensive odours.c Timescale for action 24th November 2005. 24th November 2005. 2. OP 26. 16(2)(k) 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 OP 7 Good Practice Recommendations The registered manager should continue to monitor and develop the information that staff record on daily records in respect of service users. Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 2nd Floor, Heritage Wharf Portland Place Ashton-under-Lyne OL7 0QD 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 Belmont Court F54-F04 s8540 Belmont Court v245396 Belmont Court Stage 4.doc Version 1.40 Page 24 - 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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