Inspection on 06/09/05 for Lee Beck Mount

This inspection was carried out on 6th 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

Lee Beck Mount 15/11/07

Lee Beck Mount 27/11/06

Lee Beck Mount 26/01/06

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 6th September 2005 12.30 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 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 Stationary 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 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 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 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 10 Category(ies) of Learning disability (10) registration, with number of places Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: N/A Date of last inspection 21/03/05 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 recently undergone extensive refurbishment to provide care for ten male and female service users 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. All bedrooms are spacious and provide en-suite facilities.There is a large communal lounge area, a dining room and a kitchen area for the use of service users there is also a covered outside area. Lee Beck Mount is situated in six acres of green belt pasture. Residents are encouraged to be involved in the horticultural activities ongoing as well as the care of the chickens that are on site. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. The last inspection was unannounced and took place on the 21st March 2005. There have been no further inspections until this unannounced inspection. The purpose of this inspection was to monitor the home’s progress since the last inspection and to assess whether the care given to residents meets minimum standards. During the inspection records were looked at, some areas of the home were seen such as the lounge, dining room kitchen and some bedrooms. Care staff were seen carrying out their work, and discussions were held with residents and the staff. The people who live in the home prefer the term residents, and this is the term that will be used throughout this 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. Residents said that staff are kind and caring and make them feel looked after and safe. Staff said that they enjoy working at the home because they are well supported by the managers. 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 community. 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. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 8 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 standard(s) 1, 2, 3 and 4. Residents and relatives are able to make an informed decision about the home from the written information they receive and what they see when they visit the home. Residents needs are assessed prior to them moving into the home to decide whether the home can fully meet their needs. EVIDENCE: Discussions with staff confirmed that relatives and residents had access to extensive information and were enabled to make an informed choice before moving into the home. An informative and comprehensive Statement of Purpose has been produced which gives a clear picture of the aims and objectives and the service that Lee Beck Mount has to offer. The records seen showed that initial care management assessment were completed prior to the resident moving into the home. This information is important to the manager and the staff in that they can decide from this whether they can fully meet the residents needs or not. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 9 The residents are all given the opportunity to visit and stay at the home and gradually get to know the staff and residents at the home, this gives new residents and their relatives time to decide whether this is the right home for them. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 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 standard(s) 6, 7 and 8. Support plans do not adequately assess and plan care. Residents need to know that there individual changing need and aspirations, are being continally assessed and are part of an ongoing support plan. Support plans are poor and lack of planning may mean that important needs are overlooked. Staff treat residents with dignity, helping them to make daily decisions in their lives. Staff seen clearly had a good understanding of each individual and their abilities. EVIDENCE: A new type of support plan was introduced last September but still remains incomplete. Staff do not seem familiar with the new style of support plan and care that is provided, whilst good, is sometimes lacking in a planned direction. It was difficult to see to what extent the resident had been involved with the support plans and the decisions made within them. Residents continue to be fully involved with the daily domestic routines in the home with staff seen constantly discussing and involving each individual. Staff also give choice and flexibility to individuals to decide what tasks they want to Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 11 do and what they do not. Residents are supported to clean the communal areas and their own bedrooms; they help with laundry, preparing food and in the garden. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 12 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 standard(s) 12, 13, 14, 15 and 16. 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: The staff are positive about residents skills and abilities and aim to help residents use their individual abilities to enjoy a full life. Residents do take part in the daily routines and activities in the local and wider community. 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 Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 13 to help in the kitchen and be involved in the mealtime and shopping. One resident said he particularly enjoyed helping with the livestock at the home and in the garden. He regularly fed and helped with the cleaning out of the rabbit and the hens. He also collected the eggs from the hens. Some residents were involved and were encouraged by staff to recycle the household waste. Residents regularly had daily trips out to the local pubs, shops, and places of interest, bowling and the cinema. Staff also talked about residents holidays, in the past they had gone to Oasis Leisure Park but after a meeting with the residents it had been decided that for a change they would have day trips in the summer. Their individual bedrooms are extremely important to the residents and staff encourage residents sense of ownership by helping them decorate and fill their rooms with items and equipment that interest them. One resident was happy to show me his room and his selection of DVDs and videos. Individuals do have a choice of a TV in their rooms. The TV in the lounge downstairs has Sky TV. During the afternoon a music video channel was on and one resident clearly enjoyed this and danced to his favourite singer. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 14 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 standard(s) 18, 19 and 20 Staff treat residents with dignity, maintain their privacy and show a good awareness of the individual residents personal preferences. Medication procedures partly protected residents in the administration of medication, (but all staff must undertake medication training. EVIDENCE: The medication records and procedures have improved over the last year to increase the safety of the administration of medicines. General storage and records meet the Royal Pharmaceutical Society Guidelines. The home has worked closely with a pharmacist to make sure that medication is recorded and administered safely. The staff must however complete accredited medication training. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 15 One resident said that the staff always ask him what he would like to do and assist him where he needs help. He added that he liked to do a lot for himself, which wasnt a problem for the staff. He also said that staff knock on his door if they wanted to see him and dont come into his room unless he asks them to. The resident said he had been given a key to his bedroom and always carried it around with him. Staff confirmed that where people were able they were given a key for their bedrooms. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 16 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 standard(s) 22 and 23. The home has complaints and adult protection procedures in place, which protect the residents. EVIDENCE: One resident said that he was able to talk to staff about any concern he had. If he were upset or concerned about anything staff would help him. Another resident said that they sometimes had meetings together to talk about if they were happy at the home and they also talked about the food and their holidays. Staff confirmed that they had induction training and regular supervision; they also felt that they worked well as a staff team and had good management support. Staff said that because the home was small they constantly talked about any concerns they had, and management was open and inclusive. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 17 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 standard(s) 24, 25, 26, 27 and 30. The residents live in a comfortable and clean environment. The bedrooms suit the residents needs and lifestyles. All bedrooms are single and have ensuite bathrooms making sure that each resident has sufficient privacy and comfort. EVIDENCE: The areas of the home seen were very clean and well maintained. The communal and individual rooms are a good size. The decoration and furniture is homely with comfortable furniture and good decor throughout. All bedrooms seen were homely and comfortable. Each room clearly reflected the personality of the individual and was unique. All bedrooms are single and have an ensuite bathroom. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 18 One resident said that he really liked his room and enjoyed watching his television. He felt that he had everything that he needed. From the bedrooms seen it was clear that residents are encouraged to buy furniture and items to individualise their rooms. The outside of the home is very pleasant with extensive grounds that individuals can walk in and a large seated to the front and the side of the home. The home continues to have well maintained gardens, which are enjoyed by all. The introduction of livestock has added and extra dimension to the home and an extensive vegetable plot has stimulated interest for some of the residents. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36. Staff are supervised and supported by the managers to do their job well. The manager makes sure that there are enough staff on duty in order to meet the needs of residents. Staff must have training on learning disabilities and the management of challenging behaviour to make sure that the safety and the needs of residents are met. EVIDENCE: Staff spoken to confirmed that they had completed thorough induction training and that they were registered to take NVQs (National Vocational Qualification). A training programme was in place, which includes moving and handling, health and safety, food hygiene, first aid and fire safety. Training in specialist need i.e. learning disabilities and the management of challenging behaviour was limited. Staff said that they received regular supervision and felt well supported by the management of the home. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39 and 42. The health, safety and welfare of residents is promoted by staff training and the policies that are in place. 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. EVIDENCE: The responsible individuals work together to make sure that the home is well run and the health and safety needs of the staff and residents are met. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 21 Residents said that they are included in daily decision-making and their views and opinions are sought. House meetings are held and documented. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 3 4 Standard No 11 12 13 14 15 16 17 x 4 4 4 3 x x Standard No 31 32 33 34 35 36 Score 3 2 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Lee Beck Mount Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x x 4 x 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 23 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 6 Regulation 14 Requirement Staff respect service users’ right to make decisions, and that right is limited only through the assessment process. Full assessments must be undertaken including risk assessments on all service users.(previously agreed timescale 3.04.05 ). The registered manager must develop and agrees with each service user 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 ). All staff must receive medication training (previously agreed timescale 3.04.05). Specialist training for staff in the area of learning disabilities and managing challenging behaviour must be provided.(previously agreed timescale 3.04.05). The registered manager(s) must 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Timescale for action 16.11.05 2. 6 15 16.11.05 3. 4. 35 35 18 18 16.11.05 16.11.05 5. 37 9 16.11.05 Page 24 Lee Beck Mount Version 1.30 undertake further training to meet the NVQ IV in management. (previously agreed timescale 3.04.05). RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations No recommendations. Lee Beck Mount 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 25 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 20050905 Lee Beck Mount UN Stage 4 S1529 V200976 J52.doc Version 1.30 Page 26 - 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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