Inspection on 18/02/06 for Beyer Lodge Nursing Home

This inspection was carried out on 18th February 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Beyer Lodge Nursing Home 23/05/07

Beyer Lodge Nursing Home 27/06/06

Beyer Lodge Nursing Home 15/09/05

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 18th February 2006 07:30 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 Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 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.V279096.R01.S.doc Version 5.1 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.V279096.R01.S.doc Version 5.1 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. 15th September 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.V279096.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection, which was unannounced was carried out on a Saturday starting at 07:30 am and lasted for 4.5 hours. During the inspection, 8 residents and 9 staff were spoken with. Requirements from the last inspection carried out in September 2005 had either been fully or in one case partially completed. The premises were kept well maintained, clean and tidy and provided suitable accommodation for the residents. 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 report. What the service does well: What has improved since the last inspection? The new manager who has been in post for 6 months is providing stability and continued leadership. The home is working towards providing appropriate foods for residents from all cultural backgrounds Electric storage radiators in bedrooms have been replaced and are effective at keeping rooms warm. The management of medicines now follows national guidelines. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 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. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 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.V279096.R01.S.doc Version 5.1 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): None of these standards was assessed at this inspection. EVIDENCE: Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 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 and 9. Regular reviews of care plans ensure that there relevant to residents needs is maintained. Appropriate medication practices mean that residents are less likely to be put at risk. EVIDENCE: Standards 7 and 9 were fully assessed at the last inspection. Requirements made at that inspection were reviewed at this inspection. The home was required at the last inspection to ensure that all residents had care plans and associated risk assessments that were regularly reviewed. This was now happening and regularly reviewed care plans and risk assessments were in place that meets resident’s needs. New plans were written as changes to needs were identified. At the last inspection it was found that some of the homes medication procedures needed amending to comply with Royal Pharmaceutical Society of Great Britain Guidance. Since that inspection the home has responded to the requirement by amending the way in which medication is obtained and this now ensures the guidelines are followed. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 10 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): 15. Action that has been started on serving food culturally sensitive to all residents need consolidating. EVIDENCE: At the last inspection the food served was found to be of a good standard but the meals on offer were not culturally sensitive to the needs of all the residents. Since that inspection the home have had discussion with relatives and others including catering staff at other Anchor Homes and types of food and how to cook it. The cook on duty at this inspection talked about how they were trying to meet these needs. The home should continue to do this and record action taken by adjustments to available menus. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 11 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): None of these standards were assessed at this inspection. EVIDENCE: Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 12 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, 25 and 26. The home is well maintained, has a homely feel, and is kept very clean. The replacement of the remaining storage radiators is required to keep the home at an appropriate temperature. EVIDENCE: Bayer Lodge is a clean home with no offensive odours. It was found to be well maintained and the quality of this pointed out minor matters such as the odd scratch to doors caused by wheelchairs, which need to attended to in the general course of the evident ongoing refurbishment. Corridors, along with some bedrooms, had been redecorated since the last inspection. The homes smoking area, which is a substantial conservatory, did have a brick floor. This has now been covered with a wooden floor that is altogether more homely. The area has also been redecorated. All the communal areas of the home have a very domestic feel enhanced by such small touches as a calendar of by gone film stars, which details information about important dates such as birthdays. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 13 It was noted during the inspection that there were a number of portable oil filled radiators in the home. The home had been experiencing heating problems and was in the process of replacing the electric storage radiators which are the means of heating and must be completed as soon as possible. The use of the portable radiators was required to keep the home warm. Bedroom storage radiators have already been replaced and the adequacy of the new radiators was obvious. The use and placement of these had been subject to a risk assessment to ensure that they were placed in areas were they presented a low risk to residents accidentally burning themselves. The home had appropriate policy and procedures in place for infection control and staff were seen to adhere to these. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 14 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): 29 The homes recruitment procedures should ensure that residents are protected from unsuitable staff. EVIDENCE: At the last inspection the home had appropriate recruitment procedures in place apart from having a record in those files seen of a record of the outcome of a Criminal Records Bureau check. Records were now found to contain these. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 15 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, 33, 35 and 38 The new manager is having a positive effect in the home. Residents’ monies were handled appropriately and internal mechanisms available to review and report on health and safety matters in the home. EVIDENCE: The manager, who has been in post since September 2005, was found to be having a positive effect on the home. Staff commented that she was very resident orientated and hands on. She is a registered nurse with many years experience who is about to commence the Registered Managers Award. The home used an Anchor monitoring tool called SAM to gain residents and relatives views on their experience of the home. The manager was honest that this had been lower on her list of priorities since coming to the home but stated that she was to commence this shortly. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 16 The home procedures and records for the management of resident’s monies were found to be appropriate and well maintained. Income and expenditure was clearly shown and records were reconciled by two people on a weekly basis that provided protection for residents monies handled by the home. The manager had recently undertaken health and safety training and notices relating to health and safety practice were seen about the home. An internal Anchor safety audit recently had shown a number of areas that required attention. These must be actioned to ensure resident safety. Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X X 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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. Standard OP15 Regulation 16(2)(i) Requirement The manager must ensure the provision of culturally sensitive meals. (Previous timescale of 01/12/05 only partly met). The replacement of storage radiators in the home must be completed. The requirements from the internal health and safety audit must be actioned. Timescale for action 01/06/06 2 3 OP19 OP38 23(2)(p) 23(2)(b)& (c) 01/09/06 01/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beyer Lodge Nursing Home DS0000021633.V279096.R01.S.doc Version 5.1 Page 19 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.V279096.R01.S.doc Version 5.1 Page 20 - 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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