Inspection on 24/01/07 for Benfield Hall

This inspection was carried out on 24th January 2007.

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 18/01/06

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 24 January 2007 09:30 th Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 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.V321779.R01.S.doc Version 5.2 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.V321779.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Benfield Hall Address 155 Durham Road Blackhill Consett Durham DH8 5TH 01207 591020 01207 582 413 sbh@mentalhealthcare.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.V321779.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th January 2006 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. The fees charged are £565 weekly. This does not include hairdressing and toiletries. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The visit to the home took place on the 24th January 2007. All of the key national minimum standards were inspected. The inspector spoke to people who use the service and staff. A selection of records kept by the home was looked at. Prior to the inspection the home had completed a self-assessment document, which provided the Commission for Social Care Inspection (CSCI) with information to aid the inspection. Some service users had also completed comment cards, saying what they thought about the service at the home. Comments from the people consulted during the inspection are included throughout the report What the service does well: What has improved since the last inspection? What they could do better: The development of the computerised care plans should remain under review to ensure they are user friendly and accessible. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 7 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.V321779.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures are in place to ensure that the home can meet all of the needs of the people who go to live there. EVIDENCE: Three assessments were looked at during the inspection. In addition to the initial assessment by the home, further assessments were available from other people for example care managers and health care professionals. These are used in combination to form the initial care plan. Service users said they were given information and had the opportunity to visit the home before they moved in. One said, “I received all of the relevant information about coming here”. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Reviews of care plans are carried out regularly to ensure that they are up to date and support the changing needs of the individual. Choice making is encouraged where possible. This helps to promote independence. Risk management strategies are in place to safeguard service users. EVIDENCE: Each service user has a care plan. Following admission the home carries out an in depth assessment based around independence. The level of independence that each person may achieve is based on continual assessment and is agreed with the service user. Service user plans are computerised, however the manager said that all of the service users can access these at any time and can have a paper copy if they wish. One service user said “The staff are excellent, they are always on hand for support and Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 10 they always do what they can to help me”. Another said “The care and support are above reproach –excellent. The staff are very efficient”. Risk taking is encouraged following discussion with the service user, their care manager and the staff at the home. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a range of activities which they help to choose and plan. They are supported and encouraged to see relatives and make choices regarding their lives. The meals are of a good standard. Menus are varied and service users are given a choice. EVIDENCE: Service users are encouraged to choose where they would like to go on holiday and activities provided by the home are based on what service users want to do. Outings include visits to the pub, library, swimming pool, cinema, museums and shopping centres. Holidays are arranged according to service user choice and level of independence. One service user said, “Activities are really good and you are allowed to bring your own arts and crafts inn and the staff are always interested in what you are doing”. Another said “There are activities here but I don’t usually join in”. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 12 Service user meetings are held every month. This is an opportunity for service users to discuss what activities they would like to do and where they would like to go. Menus are also discussed during these meetings. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and health care needs of the service users accommodated are being met. EVIDENCE: Personal care is provided to service users in a respectful way. Staff confirmed that they would knock on doors prior to entering a service users bedroom. Service users could have a bath or shower daily. One of the residents said “I can have a shower when I want”. The home gains support from other health professionals where it is required. There are clear records within individual care plans, which detail how the home will meet all areas of health care needs including any input from other professionals. One service user said, “If ever I have a medical problem, I know I can turn to staff and they always give me advice about what to do”. Medication systems were looked at during the inspection. The home uses a monitored dosage system. All of the medication was signed for on the Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 14 medication administration records. Should a service user wish to self medicate, safe systems are in place to help them to do this. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place to support and protect service users. EVIDENCE: There have been no complaints at the home since the last inspection. The home has policies in place for service users, relatives and others to raise complaints. Comments from residents included “I have never had a need to make a complaint but if I ever did I would talk to the manager”. There are policies in place to protect service users from risks of abuse. The majority of staff have been trained in adult protection. All staff said that they would “whistle blow” (tell someone) if they thought a resident was at risk of harm or abuse. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. EVIDENCE: The inspector looked around the home and saw that service users could their own possessions into the home to make their rooms more pleasant and homely. The communal areas of the home were clean and service users confirmed that it is cleaned to a good standard. One said “The home is immaculate you can eat your food off the floor”. Another said, “It’s a lovely home. The housekeeper keeps it fresh and clean”. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 17 Since the last inspection the dining room has had new flooring and furniture providing a pleasant and homely environment. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment processes. This includes the vetting of staff through the use of Criminal Record Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. The staffing rotas were examined during the inspection. The home has one qualified nurse and one carer on duty at all times. Extra staff are provided if service users are going out of the home for activities or hospital appointments. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 19 There is a commitment at the home to having a trained workforce with 83 of staff having completed NVQ level two or three training in care. Some of the training that had recently taken place included fire safety, health and safety, food hygiene, promotion of continence and protection of vulnerable adults. Certificates to confirm this were seen in staff files. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager is well qualified, he has several years experience working in a care home. He is a qualified nurse and has an appropriate management qualification. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 21 The home has good internal systems to gain feedback from service users about the service provided. The manager is in daily contact with service users and operates an open door policy. Meetings are also held every month. Service users and families are welcome to attend. This gives people an opportunity to make their views about the home known. The company carries out a quality assurance and monitoring audit on a monthly basis. This covers all aspects of care delivery and environmental issues. Copies of these were available in the home. The home carries out risk assessments which help to minimise risk. As far as possible residents are involved in this process. The manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. Those viewed were up to date. Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Benfield Hall DS0000043630.V321779.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO 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.V321779.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V321779.R01.S.doc Version 5.2 Page 25 - 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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