Inspection on 18/01/06 for Benfield Hall

This inspection was carried out on 18th 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

Benfield Hall 21/01/09

Benfield Hall 24/01/07

Benfield Hall 27/09/05

Benfield Hall 10/03/05

Benfield Hall 29/09/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Benfield Hall 155 Durham Road Blackhill Consett Durham DH8 5TH Lead Inspector Mrs Sue Lowther Unannounced Inspection 18th January 2006 09:30 Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 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 Benfield Hall DS0000043630.V268091.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 Adults 18-65. 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. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Benfield Hall Address 155 Durham Road Blackhill Consett Durham DH8 5TH 01207 591020 01207 582 413 sbh@mentalhealth.co.uk 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) Mental Health Care Steven Brian Harmer Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13) of places Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th September 2005 Brief Description of the Service: Benfield Hall is a care home registered to provide care for 13 service users between the ages of 18 years and 65 years who have mental health needs. The home is located on the outskirts of Consett. Accommodation is provided on two floors, however there is no passenger lift. The home provides two lounges, one smoking and one non-smoking. There are adequate toilet and bathroom facilities available. The home has large gardens, which are well maintained. It is owned by mental Health Care, a registered charity. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. By law we have to inspect all care homes at least twice a year. This unannounced inspection was carried out in accordance with this obligation. The inspection took place over 5 hours, on the morning and afternoon of Wednesday 18th January 2006. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion were assessed during the last inspection of the home. The inspector looked around the building and a number of records were examined. 7 service users and 5 members of staff were spoken to. What the service does well: What has improved since the last inspection? 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. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 & 4. The home provides sufficient information to prospective service users, and they are able to visit the home in advance of any placement. Comprehensive assessment information is received by the home and the home also carries out an assessment to ensure that the home can meet the needs and the preferred lifestyle of the service user. EVIDENCE: The service user guide was reviewed and found to contain all of the information required. Information is obtained from various professionals prior to the admission of a service user. These may include care managers, hospital consultants, community psychiatric nurses and any other person who has been involved in the service users care. The manager will also visit the service user to carry out an assessment to ensure that the home can meet their needs. One service user spoken to confirmed that she had looked around the home before she had agreed to go and stay there. The information seen provided sufficient detail regarding the service users to enable staff to have an understanding of each person’s individual needs and preferences. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 8 The deputy manager confirmed that service users are consulted with regard to leisure activities and that staff will work extra hours and sometimes work unpaid to ensure individual requests with regard to social life are met. Staff spoken to showed a good awareness of individual needs of service users and confirmed that all aspects of physical, emotional and spiritual aspects are considered. Service users spoken to confirmed that there is a high level of satisfaction with the care they are offered and how the staff treat them. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 & 9. Care plans are computerised, however service users know about their care plans and participate in their review. Service users are consulted with regard to the running of the home and are well supported in decision making by the homes staff. Risk assessment takes place and service users can take part in activities that are fulfilling. EVIDENCE: Service user plans are computerised, however the deputy manager said that all of the service users can access these at any time and can have a paper copy if they wish. Service users spoken to confirmed this. The care plans seen confirmed that a multidisciplinary approach is undertaken and there is a wide range of input from clinical specialists involved in the service users care. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 10 Service users confirmed that they make choices about their lives and daily activities and that staff support and assist them well in achieving an independent lifestyle. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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 outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. EVIDENCE: N/A Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19. Service users receive appropriate support from staff to meet all of their needs and preferences. Service users physical and mental wellbeing is promoted by the home. EVIDENCE: Care plans were examined and several staff spoken to which highlighted the range of support that the home can offer. It was evident that this is tailored to individual need. Care plans were found to be comprehensive and contained good clinical as well as social and aspirational need. They were found to contain evidence of input from other health and social care professionals. Service users said that they are well supported and have a good relationship with staff. One said ‘The staff are brilliant’. Another said ‘They sometimes come in on their day off and take me out’. During the inspection one member of staff came in to take a service user for a hospital appointment because the service user had asked her to do so. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 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 & 23 Complaints and adult protection systems in the home serve to safeguard service users. EVIDENCE: The home has detailed complaints and adult protection procedures. Copies of these were seen to be available for staff use. Staff interviewed voiced a commitment to the service users they work with and to upholding service users’ rights. Information about complaints, how and who to make them to, is made available to service users and their families through information displayed in the home and in the ‘Service Users Guide’. A record is kept of all complaints made by service users or representatives or relatives of service users or by persons working at the care home about the operation of the care home, and the action taken by the registered person in respect of any such complaint. Service users said that they can approach the manager or a member staff who will listen to their complaints and sort them out as quickly as possible. Service users’ and families’ views are obtained through regular contact and an ‘open door policy’. Residents / Family meetings are held, which provide an additional forum to discuss any concerns or potential difficulties. Company policy and procedure documents relating to adult protection provide information and guidance to staff. Staff training in this area is also provided. A copy of ‘Durham & Darlington Adult Protection Committee’s Inter-Agency Adult Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 14 Protection Policy & Procedures’ on abuse and the protection of vulnerable adults are available in the home. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 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 outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. Although this standard area was not assessed the inspector saw that new windows had been fitted and a programme of refurbishment was in progress. EVIDENCE: Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. EVIDENCE: Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 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 outcomes / standards were assessed on this occasion. The key standards were assessed during the course of the last inspection. The requirement from the last inspection report for the manager to complete an appropriate management course has been met. EVIDENCE: Benfield Hall DS0000043630.V268091.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 Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Benfield Hall Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000043630.V268091.R01.S.doc Version 5.0 Page 19 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. 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 YA6 Good Practice Recommendations The development of the computerised care plans should remain under review to ensure they are user friendly and accessible. Benfield Hall DS0000043630.V268091.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Benfield Hall DS0000043630.V268091.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. 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