Inspection on 15/09/05 for Beyer Lodge Nursing Home

This inspection was carried out on 15th 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

Beyer Lodge Nursing Home 23/05/07

Beyer Lodge Nursing Home 27/06/06

Beyer Lodge Nursing Home 18/02/06

Beyer Lodge Nursing Home 12/01/05

Beyer Lodge Nursing Home 02/06/04

Beyer Lodge Nursing Home 12/02/04

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

CARE HOMES FOR OLDER PEOPLE Beyer Lodge Nursing Home 65 Taylor Street Gorton Manchester M18 8DF Lead Inspector Leslie Hardy Unannounced Inspection 15th September 2005 12:15 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 Beyer Lodge Nursing Home DS0000021633.V249834.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. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Beyer Lodge Nursing Home Address 65 Taylor Street Gorton Manchester M18 8DF 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) 0161 223 7785 0161 223 9927 Anchor Trust Care Home 16 Category(ies) of Dementia - over 65 years of age (0), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (0) Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users, who all require nursing care , will be 16. All service users shall be above pensionable age and require care by reason of mental disorder (excluding learning disability) or dementia. Minimum nursing staffing levels indicated in the Notice served in accordance with Section 13 (5) of the Care Standards Act 2000 issued on 29 October 2003 must be maintained. 12th January 2005 Date of last inspection Brief Description of the Service: Beyer Lodge Nursing Home is registered to provide accommodation with nursing care for a maximum of 16 older people aged 65 years and above assessed as requiring nursing care for mental health needs. Anchor Trust operates the home. When there is a vacancy at the home Manchester Mental Health and Social Care NHS Trust have rights to beds at the home and only if the vacancy is not filled within 8 weeks is it offered elsewhere. Residents’ ongoing mental health care is the responsibility of a NHS Consultant in older age psychiatry. The home is situated on Taylor Street in the Gorton area of Manchester. Shops, public houses and other social areas and amenities are within a short walk of the home, which is close to public transport services. The home is purpose built and set in its own small grounds. The home offers a secure, well-maintained and accessible garden area for use by all service users. It has its own car park. There are 16 single, en-suite bedrooms. Along with 3 lounges and dining rooms including one designated for the use of people who smoke. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was announced with 48 hours notice to ensure that the new manager was available, was carried out on a Thursday, starting at 12 15 pm and lasted for 5.25 hours. During the inspection, 8 residents, 2 visitors and 7 staff were spoken with. Requirements from the previous report had been implemented. The premises were kept well maintained, clean and tidy. During this inspection only a selection of key National Minimum Standards were assessed therefore to gain the full picture of how the home meets the needs of residents, this report should be read with the previous and any future reports. What the service does well: What has improved since the last inspection? What they could do better: Care plans and risk assessments need to be reviewed regularly and to take account of activities on offer to ensure they still meet residents needs. The home provided good traditional British food which may not meet the needs of residents from other cultural backgrounds. The manager must ensure that food is available to met the needs of all residents Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 6 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. Beyer Lodge Nursing Home DS0000021633.V249834.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 Beyer Lodge Nursing Home DS0000021633.V249834.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): 3 Good assessments were available from a number of sources which were used by the home to ensure that they could met the needs of prospective residents. EVIDENCE: As residents are usually admitted from the local National Health Service (NHS) mental health service they are subject to the Care Programme Approach (CPA). Residents had care plans drawn up on discharge from hospital using this format. Assessments undertaking by Local Authority staff using the “MANCAS” format were also undertaken and available, along with good handover assessments undertaking by staff on the referring ward. NHS funded nursing care assessments were also completed by a nurse trained to do so. The home also undertake their own assessment to ensure that they are able to meet the needs of the resident. All these meant that the needs of the resident were well described so that the home was sure prior to admission that they could met the described needs. This also meant that following admission sufficient information was available for appropriate care plans to be devised to ensure the resident’s needs were met. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 9 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, 9 and 10 Care plans used in the home were of a good standard and supported staff to provide a good standard of care. The homes medication management systems do not take account of Royal Pharmaceutical Society of Great Britain guidance for practice in care homes, and this could that residents are put at risk of receiving wrongly issued medications. EVIDENCE: Each resident had a care plan that described their needs and how these could be met. These plans were complied from information gathered from assessments that had been completed. Risk assessments were undertaken depending on the identified needs of the resident and and would be included as part of the individuals care plan. Care plans were not always reviewed monthly and risk assessments were not reviewed on a regular basis. The manager must implement a system of regular reviews to ensure that that residents’ needs are continuing to be met by the plans. Daily records gave a good indication of how the resident spent their day and reacted to the external environment. A Multi Disciplinary Team of health professionals led by the consultant in old age psychiatry also participated in reviewing residents care needs on a regular basis. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 10 The home has appropriate methods for safe handling of medication and recording receipt and administration. When repeat prescriptions were obtained these went straight to the chemist who then dispensed the medication. The home must ensure that all prescriptions are received by the home and the reverse of the prescription signed by the resident or a staff member (as required by Royal Pharmaceutical Society of Great Britain guidance), and a copy of the prescription made before sending to the chemist for dispensing. When the medication is received it should be checked against the prescription copy to ensure that the right drugs have been dispensed as a safeguard for the patient. Residents were seen to be treated with dignity and respect by staff. It was obvious that residents and staff knew each other well from how they conversed with each other. Staff encouraged residents to do things and undertake activities in a professional manner that did not imply any coercion. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 11 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 The daily routines in the home were focused around the needs of residents but it was unclear if the current range of activities met residents’ needs fully. Staff interacted in a friendly but professional way showing a lot of care for the residents. EVIDENCE: Residents could get up and go to bed when they wanted and choose what they wanted to do during the day. If residents choices were felt not to be in their best interests an appropriate care plan would be agreed by the multi disciplinary team. Residents who were able to go out by themselves did so and staff engaged in one to one activities with residents. The home did not currently have an activities coordinator and one relative commented on the reduction of trips out of the home to shops, the pub, and tourist type destinations. It is recommended that the manager review the availability of activities and ensure that activities meet residents’ needs and wishes, including culturally appropriate activities, and the need for community engagement. Visitors are encouraged to the home. A resident’s birthday party was seen to take place which was organised by staff after they established that the resident wanted a particular type of party, which the resident was seen to enjoy. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 12 A number of residents had access to an advocacy service that was able to make representations on their behalf when needed. The standard of food in the home was of a good standard and was home made on the premises. Residents were complementary about the food. A number of residents were from minority ethnic groups and the meals were not sensitive to their needs. One visitor said that food that his dad was used to was not available, other visitors did bring in food that residents were used to. The manager should ensure that culturally sensitive meals are available at Bayer Lodge. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 13 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 Complaints were dealt with in a open and clear manner so that any concerns were dealt to improve residents care. The home is committed to ensuring that staff were aware of adult abuse and any allegations are dealt with appropriately. EVIDENCE: The home uses the Anchor Homes complaints policy and procedure. All complaints are logged including those made by advocates on behalf of residents. The investigation is recorded and copies kept of subsequent outcome letters. The home had both the Anchor homes Adult Abuse Policy and the City of Manchester Policy. The new manager was aware of the procedure to follow to report any adult abuse concerns. Regular preventing abuse training is arranged and 4 staff were attending this training the following day. Anchor Homes operate a national confidential reporting line for concerns and this was advertised in the home. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 14 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): None of these standards were assessed at this inspection. EVIDENCE: Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 15 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, 28, 29 and 30 The home was appropriately staffed and recruitment and induction procedures were in place to protect residents from inappropriate staff. EVIDENCE: The home was staffed to at least the minimum staffing requirements of the current staffing notice. The manager was supernumerary and extra staff were rostered to meet residents specific needs. The home currently had 3 carers with NVQ level 2 in care and 2 more undertaking this. This will mean that the home will be close to achieving the minimum 50 required by these standards to ensure that residents receive care from competent trained staff. The home operates according to Anchor Homes recruitment policy and all staff were required to have a satisfactory interview and 2 references prior to appointment. Criminal Records Bureau (CRB) clearance is obtained centrally a confirmation memo or e-mail sent to the home. This was not available on one file and the manager must check this had been undertaken. Induction training and on going training is available and records are kept by the home All new staff undertake an induction programme using a course booklet. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 16 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): None of these standards were assessed at this inspection. EVIDENCE: Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 17 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 X X 3 X x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X x Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 18 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. 1 2 Standard OP7 OP9 Regulation 15(2) 13(2) Requirement Timescale for action 01/12/05 Care plans and associated risk assessments must be reviewed regularly. The home must ensure that all 01/12/05 prescriptions are received by the home and the back signed by the resident or a staff member, and a copy of the prescription made before sending to the chemist for dispensing. When the medication is received it should be then checked against the prescription copy. The manager must ensure the provision of culturally sensitive meals The Manager must ensure that all new staff have a CRB clearance available on file. 01/12/05 01/12/05 3 4 OP15 OP29 16(2)(i) 19(4) Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 19 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 OP12 Good Practice Recommendations A review of available activities should be undertaken by the new manager to ensure that residents’ needs are met, including culturally appropriate activities. Beyer Lodge Nursing Home DS0000021633.V249834.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Beyer Lodge Nursing Home DS0000021633.V249834.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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