Inspection on 27/09/05 for Benfield Hall

This inspection was carried out on 27th September 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Benfield Hall 21/01/09

Benfield Hall 24/01/07

Benfield Hall 18/01/06

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 27th September 2005 09:30 Benfield Hall DS0000043630.V259820.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.V259820.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.V259820.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.V259820.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 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. There is a smoking and nonsmoking lounge plus one dining room. There are adequate toilet and bathroom facilities available. It is owned by Mental Health Care, a registered charity The home has large gardens that are well maintained and easily accessible. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory duty to inspect all care homes at least twice a year. This announced inspection was carried out in accordance with this duty. The inspection took place on the 27th September 2005. Records were examined and a tour of the building took place. Time was spent talking to 8 service users and 3 staff. 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 will be raised during the next inspection of the home. What the service does well: What has improved since the last inspection? Formal risk assessments have now been introduced with regard to specific areas of care and concern. However these are not easily accessible and require further development as outlined in the next section ‘What they could do better’. Benfield Hall DS0000043630.V259820.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. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 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.V259820.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards/outcomes were not assessed during the course of this inspection. They were assessed during the course of the last inspection. EVIDENCE: Benfield Hall DS0000043630.V259820.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 & 9 The care planning system, which has recently been computerised, is not easily accessible to service users and relatives. EVIDENCE: The care plans of 3 service users were audited with the assistance of the registered manager. This proved to be a lengthy process with regard to crossreferencing different aspects of care. However following a tour of the building and discussions with staff and service users, the inspector had no concerns with regard to the standard of care offered. The care planning system requires further development to ensure that it is more user friendly and accessible to service users and relatives in order to demonstrate that they have been consulted and agree to the care plan. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 Page 10 From the care plans audited and during discussion with service users and observation on the day of inspection it was established that staff in general respect the service users right to make decisions, following an assessment and group discussion. Risk assessments were noted to be in the care plans audited. These demonstrated that service users had been consulted with regard to risk taking and that appropriate decisions had been reached following discussion. Benfield Hall DS0000043630.V259820.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): 12,13,14,15,16, &17 EVIDENCE: From observation during the inspection process and from consultation with service users, it was established that that service users are given appropriate opportunities to maintain and develop their skills following an assessment. Due to the complex needs of the service users currently accommodated, daily life is concentrated on valued and fulfilling activities. Service users confirmed that they are consulted in this regard. There are a variety of shops, pubs and leisure facilities available within the local area, which are easily accessible for service users. On the day of this unannounced inspection, several service users were attending day centres. Others were out shopping, some independently and one with staff escort. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 Page 12 The home generally operates an open visiting policy. Service users are however consulted with regard to their preference of visiting times and who they wish to visit them. These wishes are appropriately recorded within the care plan. Service user spoken to confirmed that their dignity and privacy is respected at all times. They are consulted with regard to any essential routines that need to be established within the home. Service users have keys to their rooms and where the multi disciplinary team had identified a need for any restriction, this would be appropriately identified within the care plan. Service users confirmed that there is a four weekly menu available. All felt that there are adequate amounts and choice available, with specific needs being met by the chef. Some service users shop and prepare their own meals with staff guidance, in preparation for discharge back to their own home. This is recorded within their risk assessment and care plan. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Service users can maintain their own medication following an assessment of need EVIDENCE: The home has a comprehensive set of medicine policies. Record keeping was accurate and complete. Procedures for the receipt, recording, storage, handling, administration and disposal of medicines were complied with. Where service users are unable to take their own medication, qualified nurses administer this. Benfield Hall DS0000043630.V259820.R01.S.doc Version 5.0 Page 14 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): These standards/outcomes were not assessed during the course of this inspection. They were assessed during the course of the last inspection. EVIDENCE: Benfield Hall DS0000043630.V259820.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): 24 & 30 The home provides a homely and safe environment for service users. EVIDENCE: The home currently meets the needs of service user currently accommodated, but would be unable to meet the needs of a service user with a physical disability. During a tour of the building it was noted that service users personalise their own rooms and can bring their own belongings into the home. On the day of inspection the home was found to be clean and there were no offensive odours apparent. There are infection control policies available for staff to consult and appropriate training is provided. Benfield Hall DS0000043630.V259820.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): 32, 34, 35 & 37 The home is staffed with a competent team who can meet the needs of service users. EVIDENCE: The home is staffed with qualified nurses and care staff. All staff undertake an induction period, which ensures that they are familiar with the homes procedures, practices and policies. In addition there was some evidence of further study days, conferences etc., which have been made available for staff to attend. These include food hygiene, first aid, continence training, fire drills and moving and handling. All care staff have achieved the NVQ Level 3 in care and both the Registered Manager and deputy manager are studying for the Registered Managers Award The manager has confirmed that he is aware of the requirements with regard to the details to be included in staff records. Staff records reviewed contained all relevant documentation. Benfield Hall DS0000043630.V259820.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): 37, 39 & 42 A competent manager who provides clear leadership, whilst demonstrating that he takes into account the views of staff and service users runs the home. EVIDENCE: The Manager is a Registered Nurse. He has in excess of two years experience in a senior management capacity. He is aware of the requirement with regard to obtaining an appropriate management qualification by 2005. The Manager confirmed that an annual development plan is available. Service users confirmed that their opinion is sought and that they are kept informed with regard to proposed changes within the home. The Registered Manager advised that a survey is planned in the near future. A policy was in place with reference to health and safety to ensure the protection of service users, staff and visitors to the home. The manager said all staff have attended health and safety training in the past year. Benfield Hall DS0000043630.V259820.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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Benfield Hall Score X X 3 x Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000043630.V259820.R01.S.doc Version 5.0 Page 19 N/A 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 OP37 Regulation 9 Requirement The Registered Manager must complete an appropriate management qualification equivalent to NVQ 4 within the appropriate timescale. Timescale for action 31/12/05 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 YA37 Good Practice Recommendations The care planning system requires further development to ensure that it is more user friendly and accessible to service users and relatives in order to demonstrate that they have been consulted with and agree to the care plan. Benfield Hall DS0000043630.V259820.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.V259820.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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