Inspection on 08/07/09 for Chorleywood Beaumont

This inspection was carried out on 8th July 2009.

CQC found this care home to be providing an Good service.

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

Chorleywood Beaumont 08/02/10

Chorleywood Beaumont 09/05/07

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 12/10/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Chorleywood Beaumont Rickmansworth Road Chorleywood Hertfordshire WD3 5BY     The quality rating for this care home is:   two star good 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. Lead inspector: Marian Byrne     Date: 0 8 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Chorleywood Beaumont Rickmansworth Road Chorleywood Hertfordshire WD3 5BY 01923285111 01923285035 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 60 Number of places (if applicable): Under 65 Over 65 60 0 old age, not falling within any other category physical disability Additional conditions: 0 10 This home may accommodate 10 people (aged 45 or above) with physical disability who require nursing care. This home may accommodate 60 older people who requires convalescent or general nursing care. Date of last inspection Brief description of the care home The Chorleywood Beaumont Care Home is registered to admit up to 60 elderly service users who require nursing care. Ten service users over 45 years of age with physical disabilities may be accommodated within the overall capacity of the home. The Chorleywood Beaumont is a restored period house with modern additions. There are Close Care apartments on the ground floor that are not part of the registered home. This service is inspected under the Domiciliary Care Agency Standards. All nursing clients have bedrooms on the first floor, with a range of day rooms and facilities on both floors. There are attractive gardens to the rear of the home and parking facilities to the front and side of the building. The home is situated in an attractive semi-rural location between Rickmansworth and Chorleywood, close to the junction of the M25 Care Homes for Older People Page 4 of 22 Brief description of the care home motorway. The home is part of the Westminster Health Care Ltd group, which is owned by Barchester Healthcare Homes Ltd. The current fee levels which are based on an individual assessment of need and the type of accommodation booked range from #750 - #1155 per week. Details of inspection reports are available on request from the home. Care Homes for Older People Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection was carried out by two inspectors over one day. The Registered Manager was not present at the inspection. We spoke to the residents, Deputy Manager, staff and visitors. We inspected records pertaining to the care of residents and at records pertaining to the recruitment and training of staff. We observed day to day life in the home including the serving of lunch. We carried out an Annual Service Review in April last year (2008). At an ASR we ask the home to evaluate how they are carrying out the care of the residents. We found the information given to us by the home was verified at this inspection. Care Homes for Older People Page 6 of 22 Care Homes for Older People Page 7 of 22 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that their needs will be recognised and met. Evidence: Four service users assessments were inspected. They contained full information on the service users needs and wishes. The pre-admission assessment was documented in detail and kept on the service users file. The home will only admit residents whose needs they can meet. Each resident gets a copy of their contract and a Service Users Guide on admission. Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that their health care needs will be recognised and that their health and independence will be promoted in a manner that respects their dignity. Evidence: Four care plans were inspected, they contained good detail on meeting the needs of the residents. The care plans gave clear direction to staff on how to meet the residents needs in a person centered manner. By this we mean that care is administered in a manner that focuses on the person they are caring for and not the task they are carrying out. Service users we spoke with were very happy with the way they were cared for and they also told us that they were happy with how they saw other people needs been met. They said that staff were kind and caring. We crossed referenced care plan with the people we spoke with and the care plans represented what we were told was important to the residents. An example of this was a person for whom prayer is important. Part of their daily care is that staff read prayers to them. There was evidence that the resident and their families (where possible) were involved Care Homes for Older People Page 11 of 22 Evidence: in drawing up the care plans. Health care needs are highlighted in care plans. On the day of the inspection none of the residents had any pressure areas. A tissue viability nurse calls to the home regularly to ensure positive skin health. All the residents have access to the appropriate health care professionals. Residents spoken with assured us that their independence and dignity was promoted at all times. The administration of medication was generally good however there was one issue with recording that was corrected before the inspection was completed. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in this home can be sure that their social and cultural needs will be recognised and met. They can be sure that the food is of good quality. Evidence: The home provides a lively social life for the residents. The programme is available to residents and is kept in the reception area. The activities include a shopping trip to the local supermarket followed by a coffee in the pub. A falls prevention clinic is offered to the residents once a week as well as a drive to the local Aquadrome, a drive to St Albans followed by lunch. The home is a member of National Association for Providers of Activities for Older People (NAPA). The people we spoke with assured us that they were kept busy and if they were left unstimulated that they would talk to the Manager. One resident we spoke with told us that they loved being cared for by overseas staff as it reminded them of their overseas travel. The home is very welcoming to visitors. The reception area contains sofas where the residents and their visitors can meet it also provides coffee making facilities. We saw that visitors were made very welcome. During the inspection there was a constant stream of visitors to the home. The food was of good appearance and was found to be tasty. Residents are offered pre-lunch drinks and wine is available to accompany lunch. A review of the menu is Care Homes for Older People Page 13 of 22 Evidence: underway with the aim to offer more hotel style menus. Residents we spoke with told us that they were happy with the quality of the food. There was a choice of dishes. Snacks are freely available. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that they will be protected from abuse and that if they have a complaint it will be fully investigated. Evidence: Staff spoken with were clear about their responsibilities to the residents under the Safeguarding Adults Procedure. They have had training in how to recognise all forms of abuse. The home takes complaints seriously and they are investigated under the Homes complaints procedure. Residents we spoke with told us that they would have no hesitation in talking to the Manager if there was an issue they were not happy with. The home has kept us informed of any incidents that have a detrimental effect on the residents. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that the environment will meet their needs and that it is well maintained. Evidence: On the day of the inspection the home was bright, fresh and clean. The home is well maintained and was in good repair. Rooms are routinely decorated when vacated. The grounds are well tended and assessable to all residents. The reception areas is welcoming and provides facilities for tea and coffee making for the residents and their visitors. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can be sure that they will be well cared for by well trained staff who have been recruited appropriately. Evidence: On the day of the inspection there was sufficient staff on duty to meet the needs of the residents. We observed call bells being answered in a timely manner. Staff we spoke with were aware of the needs of the residents. We saw staff interact with the residents in a respectful manner. Residents told us that the staff were very kind and that they are treated with respect and that their dignity is promoted. We looked at the recruitment files of three staff they contained all the appropriate security and identity information. This includes two references from a previous employer and a Criminal Records Bureau check. Staff were trained appropriately to ensure that meet the identified needs of the residents. Training included moving and handling, infection control, safeguarding adults, food safety, use of bed rails, coshh, memory land workshop, fire training and five star dining. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in this home can be sure that it is managed and run in their best interests. Evidence: The home is well managed and is run in the best interests of the people who live there. The home can meet the needs of the people they admit. Care plans are drawn with the person to be cared for or their families. Their health care needs are recognised and met where possible. Day to day life in the home offers variety to the residents giving opportunities to be part of the local community and have the opportunity to be part of life outside the home. Visitors are welcome at all reasonable times. Food was found to be good and some of the residents are involved in drawing up a new menu. Staff were appropriately recruited and trained. We were told that the Manager is approachable and easy to talk to. We were told by the residents that they would go to him if there was a problem. There was sufficient staff on duty to meet the needs of the residents. Care Homes for Older People Page 18 of 22 Evidence: The home does not look after the monies of any of the residents. The health and safety of the residents is promoted through. All necessary safety checks had been carried out. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 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 21 of 22 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) 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 22 of 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. 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!