Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Bexton Court Bexton Court Bexton Road Knutsford Cheshire WA16 0BZ The quality rating for this care home is: The rating was made on: three star excellent 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Elaine Bray Date: 2 5 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Bexton Court Bexton Court Bexton Road Knutsford Cheshire WA16 0BZ 01625374166 01625374167 Jill.Greenwood@cheshire.gov.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jill Greenwood Type of registration: Number of places registered: Cheshire County Council care home 23 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia learning disability 5 0 Over 65 22 1 Conditions of registration: This home is registered for a maximum of 23 service users to include: * Up to 22 service users in the category DE(E) (Dementia over 65 years of age) * Within the 22 DE(E) service users 5 may be in the category DE (Dementia aged between 55 and 65 years) * No more than 1 service user may be accommodated in the category LD(E) (Learning disability over 65 years of age) Date of last inspection Brief description of the care home Bexton Court is a purpose built community support centre owned and managed by Cheshire County Council. It is near to Knutsford Town Centre, where there are a wide range of shops and other amenities. The fees at Bexton Court are based on a financial Care Homes for Older People Page 2 of 7 assessment of the individual. Bexton Court provides accommodation on a single floor with some office accommodation sited on a second floor. The premises are physically linked to a ward in the adjoining hospital. The home is registered to provide care to a maximum of 23 service users. Bexton Court is an established provision. It is a wellequipped facility offering a range of short- term respite services for people with dementia, which are tailored to an individual?s needs. Care can include short breaks, flexible day and overnight care. There is a day care unit, which provides 5 places each day from Monday to Friday. In Bexton Court, all rooms are easily accessible to wheelchair users. All bedrooms have wash hand basin facilities, with hot and cold water, door locks and facilities for calling staff should assistance be needed. There are several specially equipped bathrooms with bath and shower facilities. There is a secure garden area for service users and visitors to use. Care Homes for Older People Page 3 of 7 What we found:
This inspection was part of a random programme of inspections to see if medicines were being handled safely. The visit took about three hours and involved inspecting residents medicines and medicine records and talking to staff who manage medicines. We found that on the whole medicines were handled well, which helps ensure that residents health and wellbeing is protected. We looked at how medicines were stored and found them to be secure in a locked room and metal trolley.This means they are safe and unauthorised people cannot get to them. The temperature of the secure fridge (used only for medicines) had not been checked recently. There is a form to make records but it had not been used. The manager gave staff a new form and instructed staff to do it. It is important to be sure that the fridge is at the correct temperature so that the medicines in it stay fit to use. There are new laws about the kind of cupboard that is needed to store controlled drugs (those liable to misuse) correctly. The cupboard in use was not suitable now. A replacement was ordered. This ensures that these medicines have the required extra security. We looked at how medicines were handled and recorded. A new form for recording the receipt and giving of medicines had been introduced. The senior care staff said they found it difficult to use. The prompts to remind staff what they had to record were not clear so the records were not completed correctly. This resulted in the form being changed to a much clearer one. The manager said that she would arrange training so that staff would be sure about what to record. This is important as clear, correct medication records show that residents health is protected by being given their medicines correctly and accounting for every dose. What the care home does well: What they could do better: 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 2. Care Homes for Older People Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 7 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 Care Homes for Older People Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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 © (2008) 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 7 of 7 - 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!
