Inspection on 14/09/05 for Bethany

This inspection was carried out on 14th 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 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

Bethany 09/01/07

Bethany 26/01/06

Bethany 08/02/05

Bethany 12/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Bethany Clarendon Place Leamington Spa Warwickshire CV32 5QN Lead Inspector Patricia Flanaghan Announced Inspection 14th September 2005 9:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bethany Address Clarendon Place Leamington Spa Warwickshire CV32 5QN 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) 01926 423661 01926 433041 bethany@cch_uk.com Bethany Guild (Christadelphian Homes) Mr Alan Taylor Care Home 21 Category(ies) of Old age, not falling within any other category registration, with number (21) of places Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: The home provides places for up to 21 individuals or couples who are members of the Christadelphian Church and who may be drawn from all parts of the country. The home provides residential care for older people and does not provide nursing care. Accommodation is spacious with individual rooms, which are equipped with a small kitchenette. There are care staff on duty 24 hours a day to provide personal care. Main meals, social activities and in particular bible readings are shared in the home, the local community and, with regard to church services, at a nearby sister home. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and took place over one day between the hours of 9.30am and 4.30pm. This was the first visit for this inspection year. Staff co operated fully with the inspection. The manager was present throughout the inspection. The inspection process involved a tour of the home, talking with the manager, examining records and care plans, observation of care practices along with discussions with residents, staff and relatives visiting on the day of the inspection. What the service does well: What has improved since the last inspection? The Manager has ensured that the requirements from the last inspection have been addressed. Risk assessments have been completed for residents and some policies have been reviewed. Staff training in adult protection procedures has been arranged and is ongoing. Bethany DS0000004211.V252084.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. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4 and 5 Residents have the information needed to help them and their families make a choice about where they live. Residents are assessed before moving into the home. They are provided with the opportunity to visit the home to assess the quality, facilities and suitability of the home before they move in. EVIDENCE: A Statement of Purpose and Service User Guide is available. The documents were examined and both outline the aims and objectives of Bethany. A copy of the Service User Guide is available to residents, relatives and other visitors. These documents provide residents and potential residents with information, which will help them to make an informed choice about moving into the home. Discussions with residents and relatives confirmed that they had the opportunity to visit the home before making a decision to move in. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 9 The files of three residents were reviewed during this inspection. The admissions procedure included an assessment by the home completed before admission and provided the opportunity for the prospective residents and/ or their relatives to visit the home. Records showed that assessments had been completed and this provided the necessary information for the home to be able to provide the care needed. The records seen and a discussion with the staff evidenced that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 10 All residents have individual plans of care, which sets out their health, personal and social care needs in detail and enable staff to ensure that these needs are met. Personal support is offered in such a way as to maintain residents’ privacy and dignity. EVIDENCE: A number of residents’ plans of care were seen at the inspection. These were clear and comprehensive and included risk assessments. Care plans and risk assessments are regularly reviewed and updated. Residents received dental, chiropody care and saw the optician. The home supported residents to attend outpatient appointments. All residents are registered with local General Practitioners (GP). Residents spoken with felt that their health care needs were being met advising that they saw the dentist, chiropodist, optician and GP or District Nurse when necessary. Holistic assessments had been undertaken for each resident living at the home. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 11 Daily recording by care staff of health care needs need monitoring. For example, staff recorded their concerns regarding the continence health of a resident in the daily report for the resident, but here was no evidence that this was acted upon. The home promoted the privacy, dignity and independence of the residents. Staff were observed responding to residents in a sensitive manner and were able to describe how they undertook tasks in a manner that promoted residents’ privacy and supported them to make choices over their lives. During the inspection it was observed that privacy and dignity were being afforded to residents, and there was very good interaction with staff. Care staff were seen knocking on doors before entering. All residents spoken with told the inspector that they were treated with respect, and that the staff were very kind and helpful. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Residents are satisfied with their lifestyle in the home and fell they had been able to exercise choice and influence decisions affecting them. Contact has been maintained with relatives and friends of residents. Opportunities to access the local community has been made available. Residents receive suitable meals in pleasant surroundings, which promotes social interaction and wellbeing. EVIDENCE: There is a planned programme of activities and entertainment in the home. Outside ‘entertainers’ visit the home with the manager advising that a representative from a falconry centre would be visiting the home to fly some birds and talk to the residents. The home has the use of a minibus to attend prayer meetings and social outings. Outside trips are arranged on a regular basis, for example, a ‘mystery trip’ by coach is arranged once a month. Art classes are held and evidence of resident’s artwork, which was of a high standard, was displayed throughout the communal area of the home. All activities are funded by the residents ‘Welfare Fund.’ Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 13 Proactive links are well established with the local community. Some residents are able to leave the home on their own and continue with their day-to-day life in the community. Residents were seen to be relaxed and happy to be living in the home. The majority of residents were spoken with during the inspection and comments made include, ‘I like living here’ and ‘the staff are always kind and caring’. A visitor spoken with was very happy with the home and the care provided by staff. The inspector ate a meal with the residents, the meal was well presented, appetising and enjoyed by all residents. The lunchtime was seen to be a social event, the dining room is designed as a restaurant and arranged so that residents can sit in small groups allowing them the opportunity to socialise. Choices were available for the main course and a variety of desserts had been prepared. All residents spoken with were very positive about the quality of food provided by the home. The manager, staff and welfare committee are commended for the wide range of activities and facilities available for residents, both inside the home and in the wider community. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Systems for the management of complaints are satisfactory residents can be confident that their concerns are listened to, taken seriously and acted up on. The home has systems in place to protect residents from the risk of abuse, increasing their feeling of safety and their quality of life in the home. EVIDENCE: A detailed complaints procedure is available and accessible to residents, staff and visitors in the home. Relatives spoken with advised that they would speak to the manager or other staff if they had any concerns. The Commission have not received any complaints since the last inspection. All concerns received at the home had been recorded and responded to appropriately. A procedure for responding to allegations of abuse is available with clear guidance for staff to follow. There was evidence that adult protection training sessions for staff is ongoing. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25 and 26 The home is well decorated and presented providing a well-maintained homely environment with sufficient and suitable equipment and facilities, which ensure safe and comfortable surroundings, are provided for all residents. EVIDENCE: A tour of the home evidenced that the location and layout is suitable for the services offered and meet the needs of residents living in the home. The garden area at the back of the home is well maintained and offers an accessible and pleasant area for residents to sit. Resident’s accommodation is provided on three floors with all floors accessible by using a lift or stairs. Some of the bedrooms were viewed with the Manager. Observations of bedrooms visited indicate that residents are encouraged to bring in personal items to individualise their own space and that bedrooms are furnished based on their individual needs. The home was observed to be clean and free from offensive odours. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 16 Lighting in the home is appropriate, natural lighting being provided by appropriately placed windows in individual bedrooms and communal areas and throughout the home. The home provides adequate communal space, which encourages residents to socialise. Residents were observed to be sitting in the lounge areas, bedrooms and the conservatory area. Although the kitchen was not inspected in detail it was seen to be clean and that standards of hygiene are maintained. Ample, fresh, frozen and dried foodstuffs are maintained in the home to provide residents with nutritious and suitable meals. The laundry was clean and in good order with systems in place to manage dirty laundry. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 Residents are being supported by a skilled and knowledgeable staff team who understand their needs and wishes. EVIDENCE: It was evidenced from duty rotas and the number of staff on duty at the time of inspection, that suitable and separate core staff is available to support the services provided by the home. Records indicated that 7 of the 16 care staff employed at the home have an NVQ level 2 in Care with 2 senior staff members having an NVQ Level 3. Training records were examined which demonstrated that staff have regular training on the diseases and illnesses associated with old age ensuring they are competent to do their jobs. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32 and 35 The home has got an effective management structure in place, which has resulted in effective leadership and a clear ethos, which safeguards the rights and best interests of residents and protects their welfare. EVIDENCE: Observations made indicate that the manager is approachable, has good interaction with residents and relatives and maintains an involvement in the care of residents. Residents and relatives expressed positive comments about the manager and were happy with the way the home is run. An open door policy for residents and relatives is practised. Residents and a visitor spoken with stated that they found the manager, care staff and other staff in the home approachable. No money is held in the home on behalf of residents. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X X Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 20 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 OP7 Good Practice Recommendations Daily health related statements, should be completed consistently to demonstrate care prescribed and care given. Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Bethany DS0000004211.V252084.R01.S.doc Version 5.0 Page 22 - 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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