Inspection on 06/12/05 for Belmont House

This inspection was carried out on 6th December 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 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 01/03/07

Belmont House 08/06/05

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

CARE HOMES FOR OLDER PEOPLE Belmont House Belmont Drive Stocksbridge Sheffield South Yorkshire S36 1AH Lead Inspector Michael O’Neil Unannounced Inspection 6th December 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 DS0000063332.V268596.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 DS0000063332.V268596.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Belmont House Address Belmont Drive Stocksbridge Sheffield South Yorkshire S36 1AH 0114 283 1030 0114 283 0641 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) None Redrose Care Limited Mrs Sheila Dugdale Care Home 52 Category(ies) of Dementia - over 65 years of age (52) registration, with number of places Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 52 beds are registered for personal care (PC), only 25 of the 52 beds are registered for nursing (N). 8th June 2005 Date of last inspection Brief Description of the Service: Belmont care home is a 3-storey part converted old building with modern additions, which provides care for service users with dementia who require either nursing or personal care. The home is situated overlooking the Stocksbridge valley and the hills beyond, and has easy access to Sheffield, Manchester and the motorway network. The home is situated in a residential area, however there are no shops within the immediate vicinity. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which in the main was carried out to check requirements made at the last inspection. The inspection took place from 09:30 to 13:30. Sheila Dugdale ,registered manager was present during the inspection. Six residents, two relatives and five staff were spoken with. A sample of records were examined and a partial inspection of the building was carried out. The inspector wishes to thank the manager, staff, relatives and residents for their time, friendliness and co-operation throughout the inspection process. What the service does well: What has improved since the last inspection? The residents’ contracts of residency now contained information about the fees charged by the home. There had been an improvement in recruitment practices since the last inspection. Areas of Belmont House have been redecorated which has helped to provide a much pleasanter homely environment for the residents. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 6 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. Belmont House DS0000063332.V268596.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 DS0000063332.V268596.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): Standard 2.Standard 6 is not applicable to this home. Residents’ contracts contained a breakdown of the fees charged by the home. EVIDENCE: Three resident contracts were checked. The information in the contracts informed residents or their relatives about the fees charged by the home. Belmont House DS0000063332.V268596.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): Standards 7,8 and 10. Care plans contained information relating to the residents health, personal and social needs. Residents themselves said that they were happy at the home and the staff were nice. Relatives said that the care delivered by staff was excellent. EVIDENCE: A resident’s plan of care was checked. It set out individual needs and the action required by staff to ensure those needs were met. Residents’ relatives were involved in drawing up and reviewing the plans. Residents said that they were happy and that the staff were nice. Relatives said that they thought the staff of the home were” wonderful” and that the care delivered by them was “excellent”. Residents were well dressed in clean clothes and had received a good standard of personal care. Staff were observed to be assisting residents in a positive and friendly manner, doors were closed where staff were helping with personal care. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 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): Standards 12,13 and 15. Residents had a choice of lifestyle within the home and they were able to maintain contact with family and friends. Meals served at the home were of a good quality and offered choice, however one resident was not offered assistance to eat in a discreet and sensitive way. EVIDENCE: Activities were occurring during this inspection. Some residents were going on a trip out for lunch. Residents said that they were able to maintain contact with their family and friends. Relatives said they were always made to feel welcome when they visited. A friendly and welcoming feel was evident in Belmont House. Relatives discussed the new relatives association that has been formed and said how useful the newsletter was that was now being published. Lunch was generally served in a pleasant relaxed manner, however one member of staff assisted a resident to eat whilst they were stood up. The staff member sat down when another member of staff pointed out this unacceptable practice to them. Residents said that they enjoyed their lunch. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 11 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): None of these standards were checked as the key standards were checked and met at the last inspection. EVIDENCE: Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 12 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): Standards 19,20,21,24,25 and 26. The environment within the home was on the whole well maintained and clean providing a comfortable, safe environment for residents. EVIDENCE: Since the last inspection refurbishment of the home has continued. The lounge areas on the lower ground floor and ground floor have been redecorated and recarpeted which has really improved the aesthetics of these rooms. The rooms felt much more homely. Some bedrooms and bathrooms in the home are still in need of decoration and recarpeting. However the environment within the home was on the whole, well maintained providing a comfortable, safe environment for residents. The home was clean, with no unpleasant odours noticeable. Relatives said that they were impressed with the cleanliness of the home. The home was warm in all areas. Window restrictors were fitted to all windows checked. This will assist in maintaining resident safety. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 13 Three bedrooms were checked in detail and many others seen, all were comfortable. Bed linen checked was clean and in a good condition. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 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): Standards 27,28 and 29. Staff were employed in sufficient numbers. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. EVIDENCE: The manager stated that agreed staffing levels were being maintained. The staff rota identified agreed staffing levels had been met. This will assist in making sure that service users needs are met. Staff said staffing levels were adequate. The recruitment information obtained for new staff was sufficient to adequately protect the welfare of residents who lived at the home. The staff files contained references from the staffs last employer, information to verify identity and a Criminal Record Bureau (CRB) check. Fifty per cent of care staff had not achieved their level 2/3 NVQ qualification, although the manager said that several staff had nearly completed the course. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 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): Standards 31,32,33,37 and 38. There was a positive style of management in the home. The homes policies and procedures promoted the health, safety and welfare of residents and staff. EVIDENCE: The manager said that she had nearly completed her NVQ level 4 in management and care. Relatives said that they met regularly with the manager and spoke positively about her approachability and helpfulness. Residents were regularly approaching the manager and seemed very much at ease with her. Recorded visits by the registered provider had been carried out. At the time of inspection fire exits were clear and window restraints were in situ at first floor windows checked to prevent falls. Hazardous products were Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 16 safely stored in the home. The hot water temperature in one bathroom measured a safe temperature of 41 degrees centigrade. This will promote the safety and welfare of the service users. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 3 X X 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 X X X 3 3 Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 18 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. 2. Standard OP15 OP19 Regulation 12,13 23 Requirement Residents must be offered assistance to eat in a discreet and sensitive way. All areas of the home used by residents must be well maintained. Timescale for action 01/01/06 01/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP28 OP31 Good Practice Recommendations Preparations should be made to ensure that 50 of staff are trained to NVQ level 2 or equivalent by 2005. The registered manager should achieve a level 4 NVQ qualification in management or equivalent by 2005. Belmont House DS0000063332.V268596.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 DS0000063332.V268596.R01.S.doc Version 5.0 Page 20 - 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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