Inspection on 03/11/05 for Belmont House

This inspection was carried out on 3rd November 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 House 24/09/07

Belmont House 02/08/06

Belmont House 15/02/06

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 Announced Inspection 3rd November 2005 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.V262714.R01.S.doc Version 5.0 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.V262714.R01.S.doc Version 5.0 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.V262714.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 08/02/05 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. Two of the double rooms have on 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.V262714.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken over 6.5 hours on 3rd November 2005. Samples of the care records were examined, a questionnaire was circulated and four residents were consulted individually in private to ask their views of the service provided. The district nursing service was also consulted. A complete tour of the building was undertaken and the proprietors assisted throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: An issue was apparent in the administration of medication and a requirement has been raised in this report to ensure all staff follow the policy and procedures of the home. All the requirements raised in the last report have been met by the home. A recommendation has been raised for the home to ensure that all care plans are signed by the resident concerned to demonstrate their agreement. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 6 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.V262714.R01.S.doc Version 5.0 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.V262714.R01.S.doc Version 5.0 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: Three 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. Four residents were consulted individually in private 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.V262714.R01.S.doc Version 5.0 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): 7,8,9 and 10 Individual care plans were available that were comprehensive and covered all residents’ needs. Service users were able to self medicate where it was appropriate. Generally the administration of medication at the home protected service users, but some deficits were apparent. Service users were clearly treated with respect and their privacy was maintained by the service provided. EVIDENCE: Four care plans were examined at the inspection, these were detailed and comprehensive well covering the areas of health, personal and social needs. Monthly reviews are undertaken to ensure the records are up to date, more often if the resident concerned is going through a period of rapid change. Residents consulted during the inspection confirmed that all their needs were met by the service provided. All the residents at the home advised that they were involved in the care planning process but some care plans were not signed to demonstrate this, a recommendation has been raised in order that this is addressed by the home. Service users health needs were fully addressed; this was confirmed by residents and the district nursing service that was also consulted. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 10 Residents that wished were able to self medicate at Belmont House subject to a risk assessments approach this was undertaken to ensure they had the capacity. In general the administration of medication at the home was carried out appropriately however there were issues about the checking and booking in of some medication and a requirement has been raised to ensure that all staff follow the policy and procedures in place in the home to ensure resident are safe. Four residents were consulted individually in private and a group of residents were consulted together during the inspection process they all advised that they were always treated with respect by their carers and that their privacy was maintained at all times. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 11 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 Residents were very happy with the lifestyle at home and 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: As previously stated four residents were consulted individually in private, in addition a group of four was also asked for their views, all advised that they enjoyed the lifestyle at the home. One resident said, “This must be the best home in the country” and another advised, “This service would not be out of place in the Imperial Hotel”. A range of activities is provided in the home, some are: bingo, exercises, darts, skittles and many games are available including work games a piano player provides live music on a weekly basis and accompanied trips out are also undertaken. No residents could suggest any additions when asked. Currently the home is investigating where they can obtain the use of a suitable bus. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 12 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. It was clear from observations made during the inspection that carers assisted residents to exercise real choice and they were not rushed when making their response. Residents can go to bed when they choose and rise when they wish, they advised that they felt in charge of their lives and were consulted by the home about matters that affected them. All the residents consulted were very 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.V262714.R01.S.doc Version 5.0 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 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. No complaints were made to the inspector during the inspection. 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.V262714.R01.S.doc Version 5.0 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): 19 and 26 Belmont House is a safe, comfortable, well-maintained environment that is clean, pleasant and hygienic. EVIDENCE: A complete tour of the home was undertaken during the inspection, the home was clearly safe, comfortable and well maintained. New easy chairs have recently been provided for the lounge, which residents much appreciated. A new sluice area has been built on the first floor and one of the main bathrooms has been refurbished and the bath replaced. A new hoist has also been purchased. All the rooms were seen, the home was clean and pleasant, high standards of hygiene were evident throughout. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 15 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, 28, 29 and 30 There are always adequate staff on duty to ensure residents needs are met and that they are safe. The home follows an appropriate recruitment policy and procedure. Carers are trained and are competent to undertake their jobs. EVIDENCE: The staffing levels at the home remain the same as at the last inspection and are adequate to meet the needs of the residents. Residents consulted advised that their call bells were answered promptly when used. It was clear from observations undertaken during the inspection that good relationships existed between residents and their carers and good natured banter was over heard. The home follows a comprehensive training programme with written records maintained for the staff team that is taken up when the detailed induction is completed. These processes ensure that residents are in safe hands at all times. The home ensures that complete personnel files are available for all staff, two references are taken up on each person and appropriate checks are completed. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 16 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): 31, 33, 35 and 38 A person who is fit to be in charge appropriately manages Belmont House for the benefit of residents. Residents’ finances are safeguarded and health and safety issues are well managed. EVIDENCE: The manager of Belmont House is a qualified nurse and has fifteen years experience of working in care. She has managed the home for the last six years and is well able to discharge her responsibilities fully. From observations made at the time of the inspection it was clear that residents’ needs took precedence over the running routines of the home. As previously mentioned the district nursing team was consulted and residents’ relatives, all were clear that the home was run in the interest of the residents. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 17 The home does assist some residents with their pocket money and three sets of records were examined as part of the inspection. All expenditure was clearly recorded and receipts were held for any purchases made on behalf of a resident. The management of the home takes the health, safety and welfare of residents and staff very seriously. The fire precautions undertaken were well recorded and up to date. All equipment was regularly serviced and records were maintained. The home has been assessed by an appropriately qualified occupational therapist and electrical checks are undertaken and recorded. Risk assessments are in place and the home’s passenger lift is maintained under contract. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 18 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 3 9 2 10 3 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 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 19 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 OP9 Regulation 13 Requirement The registered provider must ensure that all staff adheres to the home’s policy and procedure the correct administration of medication. Timescale for action 10/11/05 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 The registered provider should ensure that all service user plans are signed by the resident concerned to demonstrate agreement. Belmont House DS0000018326.V262714.R01.S.doc Version 5.0 Page 20 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.V262714.R01.S.doc Version 5.0 Page 21 - 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!