Inspection on 15/02/06 for Belmont House

This inspection was carried out on 15th 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

Belmont House 24/09/07

Belmont House 02/08/06

Belmont House 03/11/05

Belmont House 16/02/05

Belmont House 19/10/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Belmont House Belmont House 13 Greenover Road Brixham Devon TQ5 9LY Lead Inspector James Rose Unannounced Inspection 15th February 2006 09:30 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 Belmont House DS0000018326.V283541.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. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Belmont House Address Belmont House 13 Greenover Road Brixham Devon TQ5 9LY 01803 856420 01803 856420 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) Mr Patrick Simon Phillips Mrs Belinda Phillips RGN Mrs Belinda Phillips RGN Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20), Physical disability over 65 years of age of places (20) Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Belmont House is Registered to provide 24-hour care for up to 20 service users over the age of 65 years; their care needs are related to old age or physical disability. The home has three double rooms; the remainder are all single occupancy, six of which are en-suite. Two of the double rooms have en-suite facilities. A call system is provided throughout the building and appropriate bathing and mobility aids are available for service users that have mobility issues. The home also has a vertical lift available. There are two adjoining communal lounges and a large conservatory, meals are taken is a separate dining room. At the front of the building is a well-tended garden area with a patio and raised pond. On road parking is possible at the side of the home. The home is decorated and furnished to a high standard and a very comfortable environment is provided for service users. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over three hours on 15th February 2006. The communal areas of the home were seen and samples of the care records were examined. Five residents were consulted about life at Belmont House and one visitor was also asked for their views. The way care was delivered was observed and the registered providers assisted throughout the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 6 The recording of the administration of medication needs to be improved to ensure a safe system is practised. 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 House DS0000018326.V283541.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 Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Comprehensive assessments were undertaken by the home of all prospective residents prior to them being admitted. EVIDENCE: Four assessments were examined at the time of the inspection these all covered the areas of health, personal and social needs. This process was carried out with the prospective resident and their families and healthcare professionals were consulted as necessary. Five residents were consulted individually during the inspection and they confirmed that all their needs were met by the service provided at Belmont House. Standard 6 refers to a service not provided at the home. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 9 The home has comprehensive individual care plans available for each person receiving care that cover health, personal and social needs. Residents are able to self medicate where appropriate. Deficits were apparent in the homes recording of the administration of medication. EVIDENCE: Four care plans were examined at the inspection; these were detailed and comprehensive and covered the areas of health, personal and social needs. Monthly reviews are undertaken to ensure the records are kept up to date. Residents consulted during the inspection confirmed that all their needs were met by the service provided and advised that they were involved in the care planning process. The recordings maintained by the home of the administration of medication were examined and deficits were apparent in the issue record. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 10 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 Service users were very happy with the lifestyle at home and advised that all their needs were met. The home has no restrictions on visiting and residents can maintain their contact with the local community if they wish. Care is taken to assist residents to exercise choice and control over their lives and a wholesome diet is provided in pleasant surroundings. EVIDENCE: Five residents were consulted individually and all advised that they enjoyed the lifestyle at the home. One resident said, “This is very good here and I’m quite happy” and another advised, “This service is excellent, I’m well looked after”. A range of activities is provided in the home and none of the residents consulted could suggest any additions they would like when asked. The home has an unrestricted visiting policy and procedure and residents confirmed that they could have visitors at anytime and could come and go as they pleased. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 11 It was clear from observations made during the inspection that carers assisted residents to make choices and they were not rushed. Service users choose when they retire and rise and they advised that they felt in charge of their lives. All the residents consulted were complimentary about the quality of the food provided at the home. Choice was always available and they could eat in the dining room or their own room if they wished. Sherry is provided at main meals and wine is available on Sundays at no extra cost. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 12 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 The home has an appropriate complaints procedure that is readily available and residents are protected from all types of abuse. EVIDENCE: The home has a clear complaints procedure in place and residents were confident that any issue raised would be taken seriously and rectified quickly to their satisfaction. Five service users were consulted during the inspection and no complaints were made. A clear comprehensive adult protection policy and procedure that meets all the legislation was available in the home and all staff were trained in its use. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Belmont House provides a safe, comfortable and well-maintained environment, which is clean, pleasant and hygienic. EVIDENCE: All the communal areas of the home were seen at this inspection, the building was free from hazards and was safe and comfortable. No maintenance was outstanding and high standards of hygiene were apparent. A decision has been made to move the laundry to an outside building in the grounds of the home and the building work is almost complete. The new laundry will be an improved facility with easy access. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 14 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 There are always adequate numbers of competent staff on duty to ensure that residents’ needs are met. EVIDENCE: The number of care hours available at the home remains at the previous level and are sufficient to ensure that residents needs are met. The residents consulted stated that their call bells were answered promptly when they used them. The way care was delivered was observed during the inspection, carers gave residents time to answer questions when they were asked and they were not rushed when they were mobilising. Good relationships were obvious between carers and residents with good-natured banter being overheard. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 15 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): 38 Health and safety issues are given priority by the management of the home and are appropriately managed. EVIDENCE: The registered manager ensures that the health and safety and the welfare of residents and staff is given appropriate priority. The fire precautions undertaken were recorded and up to date. All equipment was regularly serviced and records were maintained. Electrical checks are undertaken and recorded. Risk assessments are in place and the home’s passenger lift is maintained under contract. Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 3 Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 17 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 The registered provider must ensure that all staff maintain accurate records regarding the administration of medication. Timescale for action 16/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Belmont House DS0000018326.V283541.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 House DS0000018326.V283541.R01.S.doc Version 5.1 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!