Inspection on 30/07/07 for Bethia Cottage
Also see our care home review for Bethia Cottage for more information
This inspection was carried out on 30th July 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Service users have an assessment so that the staff know what they need to do to meet their needs and each service user has a range of plans that help the staff to know how their needs must be met. A Relative commented, "from.........moving into Bethia Cottage, her needs have always been met." All service users have a single room and either a shared bathroom or an en suite bathroom. All bedrooms are to service users own taste, providing them with an area where they can spend private time or receive visitors. Service users are helped to enjoy activities both in the home and in the community and holidays that meets their diverse needs. Relatives and parents are kept in contact with and service users are able to receive visits from their relatives. The kitchens are kept clean and service users are helped to eat a healthy diet resulting in a healthier lifestyle. Service users and their relatives concerns are listened to and staff make sure they take action to sort problems out quickly. The staff and managers know that they need to make sure service users are protected from harm. When new staff are employed they are checked to make sure they are safe to work with the service users. The staff are very caring and competent and treat service users with respect and dignity. A relative commented, "the staff at Bethia Cottage are excellent,.........always receives the best care and support from them." The registered manager is qualified and competent to fulfil her role as the manager. The home is safe, comfortable and meets service users individual needs. When asked what do you feel the care home does well, a relative commented "............is very well cared for (as are all of the other ladies who live at Bethia), a well balanced diet, personal hygiene and health, the whole building is exceptionally clean, care and support, safety issues, helping........to live her life to the fullest potential, the manager and all staff are friendly. I feel they are all very lovely people who know how to care for disabled people."
What has improved since the last inspection?
Service users and their relatives have enough information that is easy to read so that they know what to expect from the home. A relative commented "staff are very good at giving information in all areas." All service users now have a statement of terms and conditions that tells them how much they have to pay for the service and any other charges. The complaints procedure is now available in a way that helps service users to understand it and any complaints and the action taken to put things right are now written down. Staff are receiving all the training they need to be able to meet the needs of the service users living at the home. The manager has returned to the home and the home is being run well, staff said that they are assisted by a supportive manager.Two different vehicles are available to make sure that service users are able to use facilities outside of the home and records were available to show that service users enjoy a variety of activities in the community. A relative commented "the home struggled initially to provide the promised activities but it is improving, there are few indoor activities and the clientele are difficult to keep interested (short attention spans) so tend to wander about aimlessly." A review of the service had been undertaken in the previous year and this years review has started by consulting with relatives and professionals to get their views on how the service meets the needs of the people who live there.
What the care home could do better:
Two relatives in a survey commented that they did not feel that the staffing ratios were sufficient to meet the needs of all the ladies in the house and that staffing should be provided on 1:1 basis however this was not evidenced during the course of the inspection, staffing appeared to be adequate to meet the needs of service users. The manager should discuss these concerns with relatives and placing authorities to ascertain if funding arrangements and staff provided is adequate to meet the needs of service users. Staff need to keep a record of how service users needs are changing and how they are developing their independence skills and reviews of care need to be done at least every 6 months. When service users behave in a way that can be hard for staff to manage there must be a written plan to guide staff. A relative commented, "because another resident disrupts the home a lot ............does not get as much individual time as she would like. The resident was supposed to get 1:1 time but this does not happen." Another commented "lots of time spent by staff looking after 1 client with behavioural problems. Detrimental to other clients - not sufficient staff." Health action plans need to be produced and be detailed to cover all of service users health needs and the records need to say what happened at the appointment and what will happen next. When service user have medication that can be given "as and when required" there must be written guidelines for staff so that they know when they can give it. Staff who give out medication must be checked by the manager to make sure that they have the right skills. The bath in the en suite bedroom must repaired or replaced. The home needs to have maintenance and renewal plan and repairs and redecoration of the home needs to happen more quickly.All staff need to have an individual plan to say what their training needs are.