Inspection on 26/01/06 for Lee Beck Mount

This inspection was carried out on 26th January 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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Lee Beck Mount 15/11/07

Lee Beck Mount 27/11/06

Lee Beck Mount 06/09/05

Lee Beck Mount 31/01/05

Lee Beck Mount 29/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Lee Beck Mount 108 Leeds Road Lofthouse Wakefield West Yorkshire WF3 3LP Lead Inspector Linda Trenouth Unannounced Inspection 26th January 2006 13:10 Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 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 Lee Beck Mount DS0000001529.V276968.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 Adults 18-65. 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. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Lee Beck Mount Address 108 Leeds Road Lofthouse Wakefield West Yorkshire WF3 3LP 01924 824065 01924 823 787 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) Advitam Limited Mr Richard Smith Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: Advitam is a Ltd company, which operates one residential care home, Lee Beck Mount. Lee Beck Mount is situated on the A61 in the Lofthouse district of Wakefield. It is a large detached residence originally constructed in 1890 but has undergone extensive refurbishment to provide care for ten male and female residents with learning disabilities who may also have physical disabilities, including access for wheelchairs. The home does not provide nursing care. Lee Beck Mount is within walking distance of all local amenities; there is a range of public houses and restaurants that are welcoming to the residents of Lee Beck Mount. Leeds and Wakefield City Centres are accessible by public transport. The home has two multi- passenger vehicles, which are used throughout the week. All bedrooms are spacious and provide en-suite facilities. There is a large communal lounge area, a dining room and a kitchen area for residents use and a covered patio area outside. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 6th September 2005. There have been no additional visits made to the home since the last inspection. This was an unannounced inspection carried out by one inspector who was at the home from 13.00 until 16.40. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices and talking to residents and staff. Comment cards were left at the home to provide residents and visitors with the opportunity to comment on the service. Feeds back from previous comment cards are included in this report. Feedback was given to the registered manager at the end of the visit. Requirements and recommendations made during this visit, and outstanding from previous inspection visits can be found at the end of the report. What the service does well: The home has a friendly and welcoming atmosphere. Care is provided in a clean, tidy and well maintained building. The manager and the staff continue to provide good opportunities for residents personal development. Staff said that they enjoy working at the home because they are well supported by the managers. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 6 Residents are provided with an extensive and diverse range of day care, leisure activities, day trips and holidays. They have good opportunities for personal development and involvement in the local and wider communities. The residents are supported in every aspect to develop and maintain personal and family relationships. The management and staff make sure that residents make meaningful decisions about their lives and participate in the daily day-to-day running of the home. The staff promote and encourage all the residents to be independent as possible and to reach their full potential. What has improved since the last inspection? What they could do better: The home has a person centred plan, ready to use; the staff still require training and support through this document. This document provides a full assessment of the resident from their perspective and therefore provide a deeper insight in to the residents needs. When these are completed they would greatly help staff in their formulation of the present care plans. The manger has not yet completed the Registered Managers Award NVQ level 4. This training must be completed to make sure he is sufficiently trained to meet all the management and care needs of the home. The manager has registered on the award but is awaiting a start date. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 7 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. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. Support plans and risk assessments are improving but managers and staff must make sure that all individuals have individual plans to make sure that important needs are not overlooked. EVIDENCE: The care that is provided at the home is good but must have a planned direction. Support plans and assessments have been introduced, with some completed care plans seen during the inspection. The documents reviewed were good but the managers and staff must make sure that all residents have an individual plan. It was disappointing that the person centred planning has not yet been introduced; this would provide a greater depth assessment of the resident. Risk must be assessed for each resident and regularly reviewed in agreement with the resident and the relevant specialist. The risk assessments must identify the action and strategies to be taken to minimise the risk and recorded in the care plan. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11. The residents have opportunities for personal development in a meaningful way. Residents are encouraged to participate in social and leisure activities, to maintain links with their friends and family and to exercise choice and control over their lives. Residents participate in the local and wider community and live full and interesting lives. EVIDENCE: Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 12 The staff are positive about residents skills and abilities and aim to help residents use their individual abilities to enjoy a full life. Individuals choose freely from day-to-day activities and events. Residents spoken to confirmed that they have many opportunities and choices both in and beyond the home. They are involved in many vocational activities. These include day centres, college classes and gardening placement. Residents regularly had daily trips out to the local pubs, shops, and places of interest, bowling and the cinema. One resident returned from a swimming trip during the visit whilst another had spent time visiting his family. From the comment cards received and from discussion with residents and relatives it was clear that they were happy with the activities provided by the home. In the past the home has planned a holiday to Centre Parcs, last year the intention was to have day trips instead with separate holidays planned this year for the United Kingdom and abroad. Special events are planned with the residents including birthdays, which are celebrated at the home. One resident told me about the Christmas he had enjoyed at the home and what a great meal it had been and how he had liked all his presents. Some residents are involved with domestic routines in the home. Staff were observed helping residents make daily choices about what they want to do during the day and where they wanted to go. Staff also encouraged residents to help in the kitchen and be involved in the mealtime and shopping. One resident said he had help from staff to clean his bedroom, he had a planned day each week to sort his room out and he had time with staff to go shopping for everything he needed. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Residents are supported and safe systems are in place for the administration of medication. EVIDENCE: The medication storage was reviewed and found to be well organised and maintained. The home holds a stock of household remedies, which have all been agreed, by the local surgery. A separate stock and administration book is held in the office. The staff have all received training from the local chemist in the safe handling of medication. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The home has complaints and adult protection procedures in place, which protects the residents. Residents personal monies are managed by the home in accordance with their wishes, with clear procedures and auditing for staff to follow. EVIDENCE: One resident said that he was able to talk to staff about any concerns he had. If he was upset or concerned about anything staff would help him. Staff confirmed that they had regular individual supervision and felt that they worked well as a team and had had good management support. Staff felt that because the home was small they constantly talked about any concerns they had. They also had staff meetings every two months. Comment cards from relatives confirmed that they were aware of the homes complaints procedure. Residents personal monies are managed in accordance with their wishes and clear accounts are held. The manager has made sure the staff are aware of the financial procedures and undertake regular checks on all the residents accounts. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 and 36. The home is staffed to meet the needs of the residents. Staff receive training and supervision to review their competence and skills. Recruitment procedures at the home are robust to make sure that the residents are safe from potential harm. The manager makes sure that there are enough staff on duty in order to meet the needs of residents. EVIDENCE: Staff meetings at held are regular intervals and records are kept. The staff said that they had regular supervision with the managers of the home. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 17 There has been no staff changes in the last inspection year. The recruitment files were reviewed and it was evident that the home operates a robust recruitment procedure, which includes interviewing potential staff and ensuring that all checks are undertaken. All staff are issued with copies of the terms and conditions of employment. Staffing levels are good at the home and there is adequate time built into the rota to support residents in the activities and lives they wish to lead. Relatives comment cards and relatives spoken to felt that the staffing levels were sufficient and that that their relative was well cared for. The home has 50 of the staff trained in NVQ level 2 and above with a further three members of staff undertaking the training this year. This is commendable and fully meets the standard. It was required that all staff at the home, including ancillary staff, undertake challenging behaviour and adult protection training. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 43. The home is well managed. The interests of the residents are seen as very important to the manager and staff and are safeguarded at all times. The residents are included in the decision-making and their views and opinions are sought. The manager has many years experience of the client group and has good leadership skills but must complete training to fully meet the standard. EVIDENCE: The manager and the staff work together to make sure that the home is well run and the needs of the residents are met. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 19 The residents said that they were included in the decision-making and their views and opinions are sought. The management and staff at the home create an environment of openness and respect. Relatives spoken to and comment cards received felt that the home was well run and managed. They commented that the home was very relaxed and friendly they were always welcome and were very much encouraged to be part of the care of their relative. Comment from the relative included, our son is very happy and contented. He is looked after extremely well. My son is clean and well cared for, myself and my family are very pleased. Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 2 34 3 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 x x 2 x LIFESTYLES Standard No Score 11 4 12 x 13 4 14 x 15 4 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x 2 3 3 x x x 3 Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 21 no Are there any outstanding requirements from the last inspection? 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 YA6 Regulation 14 Requirement Staff respect residents right to make decisions, and that right is limited only through the assessment process. Full assessments must be undertaken including risk assessments on all residents. (previously agreed timescale 3.04.05 and 16/11/05). The registered manager must develop and agrees with each resident an individual Care Plan, which may include treatment and rehabilitation, describing the services and facilities to be provided by the home. Reviews should be held a minimum of every 6 months or sooner where required. (previously agreed timescale 3.04.05 and 16/11/05). Risk assessments must be undertaken and form part of the care plans. That all staff, including ancillary, should receive training in challenging behaviour and adult protection. The registered manager(s) must complete training to meet the DS0000001529.V276968.R01.S.doc Timescale for action 30/03/06 2. YA6 15 30/03/06 3 4. YA9 YA33 15 18 30/03/06 30/03/06 5. YA37 9 30/03/06 Lee Beck Mount Version 5.1 Page 22 NVQ IV in management. (previously agreed timescale 3.04.05 and 16/11/05). 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 Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Lee Beck Mount DS0000001529.V276968.R01.S.doc Version 5.1 Page 24 - 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!