Inspection on 22/01/09 for Beresford Lodge

This inspection was carried out on 22nd January 2009.

CSCI found this care home to be providing an Good service.

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

Beresford Lodge 23/01/07

Beresford Lodge 30/01/06

Beresford Lodge 12/08/05

Beresford Lodge 20/01/05

Beresford Lodge 13/09/04

Beresford Lodge 26/02/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 26/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beresford Lodge Beresford Road Seaton Sluice Whitley Bay NE26 4RJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Karena Reed     Date: 2 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Beresford Lodge Beresford Road Seaton Sluice Whitley Bay NE26 4RJ 0191-2377272 01912377272 wcvnl19@supanet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr M Chawla care home 26 Number of places (if applicable): Under 65 Over 65 6 20 dementia old age, not falling within any other category Additional conditions: 0 0 The maximum number of service users who can be accommodated is: 26 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places: 20 Dementia - Code DE, maximum number of places: 6 Date of last inspection Brief description of the care home Beresford Lodge is a home registered to provide personal care to twenty-six adults. Categories of registration include twenty places for older people over the age of sixtyfive years and six places for people with memory loss over sixty-five years of age. The home does not provide nursing care. The home is situated in a residential area in the village of Seaton Sluice and is on a bus route. It is close to local shops, pubs and the nearby coast. The home consists of a large detached house with large gardens. All bedrooms are for single occupancy. Rooms are available on two floors of the building although three bedrooms to the front of the main house cannot be used due to Care Homes for Older People Page 4 of 27 Brief description of the care home restricted escape if there was a fire. There are two large lounges and a dining room overlooking gardens to the front and rear of the building. There are two assisted bathrooms and six lavatories. A Statement of Purpose and service user guide are available at the home for residents who are interested in coming to live at the home. The guides describe the services and facilities provided by the home and how staff are trained to meet service users care and support needs. CSCI Inspection reports are also available at the home detailing the quality of care provided by the home. Fees payable for living at the home at the time of inspection in January 2009 vary between 410.08 and 424.52. Additional charges are payable for hairdressing, private chiropody, personal toiletries and newspapers. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use the service experience good quality outcomes. We have reviewed our practice when making requirements,to improve national consistency.Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations,but only when it is considered that people who use services are not being put at significant risk of harm.In future,if a requirement is repeated,it is likely that enforcement action will be taken. How the inspection was carried out Before the visit:we looked at information we have received since the last visit. How the service dealt with any complaints and concerns since the last inspection,any changes to how the home is run,the providers view of Care Homes for Older People Page 6 of 27 how well they care for people and the views of people who use the service and their relatives, staff and other professionals. An unannounced visit was made on date 22/01/09. During the visit we: Talked with people who use the service, relatives, staff, the manager and visitors,looked at information about the people who use the service and how well their needs are met, looked at other records which must be kept,checked that staff had the knowledge, skills and training to meet the needs of the people they care for,looked around parts of the building to make sure it was clean, safe and comfortable and checked what improvements had been made since the last visit. We told the manager what we found. What the care home does well: What has improved since the last inspection? What they could do better: Life History Books should be compiled about each resident. This will give some insight into their likes,dislikes,personal history to ensure that staff can deliver care and support as individually as possible. A daily record should be kept of all food offered to the resident confined to bed. Care Homes for Older People Page 8 of 27 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are very good procedures in place to ensure that prospective residents are making an informed choice about the home and that the home can meet their needs. Evidence: The Statement of Purpose and service user guide for the home were examined. They were interesting and informative and contained the necessary information as required by the Care Homes Regulations 2001. In surveys received residents and relatives felt that they got enough information from the home and other agencies to make a decision about whether to use this home. Comments include: The home provides a caring, homely environment where the needs of all residents are considered. Records for four people who live at the home showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. A copy of the social services assessment and care plan for each person had been obtained before they moved into the home. The person living at the home and Care Homes for Older People Page 11 of 27 Evidence: relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, culture, religion and spirituality preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements in place to ensure the health and social care needs of residents are met by staff. Evidence: After a resident has moved to the home a care plan is designed around their assessed needs so that staff know how to provide the right amount of support. The sample of care plans examined outlined the needs of each resident and how these should be supported. Care plans are written in a respectful way that promotes the individuality and dignity of each resident.The sample showed that all care plans had been evaluated regularly. Records were in place to show how the medical and nutritional needs of residents were being met. One resident who was bedfast did not have a detailed nutritional chart providing a daily recording of all food that was eaten. Residents care plans recorded information about their social and leisure needs. Comments from a staff member include:Each client has their own personal care plan which every staff member Care Homes for Older People Page 13 of 27 Evidence: reads. Health care records were available on the files of residents to show that residents are supported to have access to health care services such as GPs, dentists,psychiatric services, district nurses and continence advisors. All residents surveyed said they received the medical support they needed. Comments from some care professionals include: The home provides excellent personal care tailored to the individual needs of patients. Sensitive care provided. When carers are unsure they always look for advice from other health care professionals. The residents always appear well cared for. Other comments include: We are always told of any changes and are given up to date information on the people we care for. Risk assessments are in place for residents covering areas such as health care including prevention of falls,continence and nutrition. Moving and handling assessments have also been carried out to show the moving and assisting needs of more dependent residents. Technical aids and equipment are available for residents who are unable to move independently. The home has a medication policy that is available for all staff to read. All staff administering medication have received accredited training. Care records, conversation with staff and observation showed the privacy and dignity of residents is respected. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Overall, residents have some opportunities to make choices about activities, daily routines and menus so that they lead a lifestyle that matches their social care needs. Evidence: Activities are available for residents these include: quizzes, bingo, exercises, ball games, coffee afternoons, videos, sing-a-long, manicurist and hairdressing. Various parties are arranged, which are supported by relatives and families. A residents family committee has been established since the last inspection. Activities are also arranged by the Alzheimers Society.Comments from some residents included:I like to play dominoes. I enjoy painting and the craft activities. They seem to do a lot of activities with the residents. Residents have the opportunity to visit the local community with relatives and staff. The home is very near to the coast and residents have the opportunity to enjoy the sea and to visit the country, local places of interest and meals out. Staff support residents to keep in touch with Care Homes for Older People Page 15 of 27 Evidence: relatives or to visit them where possible. A comment said:the service is particularily good at looking after and giving support to clients and their families. A Life History Book could be completed for each resident it will supply information to ensure activities are more individual and person centred. It should help staff ensure that the social and cultural needs of residents are given as much attention as the residents health and personal care needs. This would make reminiscence more personal and help staff to engage and retain the involvement of people with memory loss. Staff ask each resident about their wishes, interests and choices. The staff team have followed a twelve- week specialist course about memory loss. This training helps staff to ensure residents are given choice in order to maintain some control in their life. The homes menus are rotated on a four weekly basis. The menus are based on the known likes and dislikes of the residents of the home. Residents were very complimentary about the food. At least two hot meals are provided each day, cooked breakfast is also available daily. Lunch on the day of inspection was: chicken and sweetcorn pie or sausage and onion,cabbage ,potaoes and butter beans followed by jam rolypoly and custard. Residents also enjoy home baking. People have access to snacks and drinks between meal times. Comments from relatives and staff include:I have never tasted the food but it always looks good on the plate. my role is to provide a choice of meals which are nutritious and colourful and also provide a high standard for any sort of diets needed. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a good, clear, user-friendly complaints and protections system which helps to protect residents. Evidence: The homes complaints procedure is given to new residents as they move into the home. The procedure assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. There is a complaints procedure on display within the home for the use of residents and their relatives. The home keeps a record of complaints. There have been no complaints received since the last inspection. The home has the Local Authorities Vulnerable Adults procedures. Staff have received training about Protection of Vulnerable adults from the local authority. Staff have received training about behaviour that may be difficult to work with as part of a dementia awareness course this should help them understand the different support needs of individuals. Care Homes for Older People Page 17 of 27 Evidence: Staff have completed a twelve-week Dementia Care course to give them more understanding of the needs of people with memory loss. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a comfortable and safe environment for those living there and all areas are well maintained, clean, tidy and free from offensive odours. Evidence: The home is accessible and is placed in the centre of a local community surrounded by houses and shops. There is an ongoing programme of decoration and refurbishment around the home . Since the last inspection some bedrooms have been decorated and carpet replaced,a bathroom has ben decorated and the flooring replaced,the landing carpet has been replaced, a new fridge freezer has been purchased, six beds and bedding has been replaced. Room sizes meet the minimum required. Residents all enjoy their own bedrooms. There was emergency lighting throughout the home. Laundry facilities appeared well organised. The washing machine has the specified programme to meet disinfection standards. Comments include:the home is clean and well maintained. Care Homes for Older People Page 19 of 27 Evidence: Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff for the current occupancy levels of the home, they are appropriately recruited and very well trained to meet the needs of the residents. Evidence: Examination of staff rotas and discussion with the person in charge and members of the staff team showed the numbers of staff on each are as follows: 8.00 am- 3.00pm 4 staff members 3.00pm- 10. 00 pm 3 staff members 10.00pm- 8.00am 2 staff members These numbers include the manager. Other staff members are employed for duties such as food preparation,maintenance and cleaning. Comments include:I feel the service A sample of staff records were examined, all of the necessary checks are being carried Care Homes for Older People Page 21 of 27 Evidence: out prior to the workers being appointed. Two written references were available on the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Staff photographs were available on individual staff files. Employment histories were available on all staff files. Coments from staff include:I gave two references before starting work at Beresford. As soon as CRB checks were introduced my employer carried one out. Staff receive Skills For Care induction previously TOPSS. It was good to see all members of the care staff team have now achieved National Vocational Qualifications at level 2, seven members of staff have achieved level 3. All of the staff have received training about dementia care. Staff and their records showed that they also receive advice and /or training in other areas. Staff have received training in dementia care, infection control,team management,challenging behaviour, palliative care, diabetes,equality and diversity,pressure care,epilepsy,osteoporosis,mantal health and older people,literacy skills,mental capacity,falls awareness,nutrition,communication and listenning skills,health and safety, first aid, food hygiene and the safe handling of medication. Comments include:I feel the service meets all the clients needs well. There is always on going training and support for staff. We undertake any training available from safe handling of medicines to safe handling of each client their needs and understanding of their faith. The manager always enrols staff for any available training. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a home that is well run and run in their interests and where the welfare of all is promoted. Evidence: The manager has the relevant qualifications for managing the home. The home is well run and there is an ethos of involving residents and staff in the running of the home.Comments include:The manager is very approachable and I feel I can always ask for help if I have a problem no matter what time of day or night. I was given a lot of help when I started this job and staff/management gave me support and answered any queries I had. Residents are also involved in decision making in their daily living. Staff and residents meetings are held regularly. Comments from staff include:We have meetings which all staff attend ,also senior staff meetings take place. Care Homes for Older People Page 23 of 27 Evidence: Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a suitable system for accounting any monies held on behalf of a resident. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment for moving and handling were all up to date. From the sample of staff records looked at staff photographs were available on individual staff files. Employment histories were available on all staff files. CSCI regulation 37 notices to notify any event that effected the well being of a resident were received within 24 hours and notified any incidents between residents. Staff training relating to health and safety was up to date and training being planned to renew any that required updating. Comments include:the service puts the wellbeing of the resident first and creates a homely environment for residnets and families. I have always received help from all the staff --I feel they look after.. and ensure her life is better. As we are a small home we can from closer relationships with our residents and understand their needs better. I have worked at Beresford Lodge 19 years and find that the home has been very friendly and welcoming to all residents and staff. The home is run to a high standard and provides a high standard of care. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 7 12 A daily record should be kept of the food eaten by the resident who is confined to bed . A life history book should be compiled for each resident to ensure the social and cultural needs of resident are comprehensively recorded. Care Homes for Older People Page 26 of 27 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!