Inspection on 05/07/05 for The Beeches

This inspection was carried out on 5th July 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

The Beeches 09/10/07

The Beeches 24/05/06

The Beeches 01/11/05

The Beeches 09/12/04

The Beeches 28/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Beeches 45 Wordsworth Road Worthing West Sussex BN11 3JB Lead Inspector Mrs S Rodgers Announced 5 July 2005, V227205 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 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. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 3 SERVICE INFORMATION Name of service The Beeches Address 45 Wordsworth Road, Worthing, West Sussex, BN11 3JB 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) 01903 239875 01903 217668 info@thebeechesnursinghome.co.uk Mrs Diana Jane Wyatt Mrs Christine Heffron CRH(N) - Care Home with Nursing 39 Category(ies) of OP Old age, 39 registration, with number of places The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 December 2004 Brief Description of the Service: The Beeches Nursing Home is a care hoime registered to accommodate up to thirty-nine service users in the category of old age with nursing. The establishment is a three storey converted and extended building located in a residential area of Worthing. Accommdation is provided in thirty-one single and four double rooms. There is a secluded well maintained garden to the rear and side of the building. There is an area for private parking to the front of the property. The service is privatley owned by Mrs D.J. Wyatt. The registered manager in charge of the day to day running of the establishment is Mrs C. Hefferon. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 6.5 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on a review of previous inspection reports, general correspondence, and pre inspection questionnaire material. Comment cards were also sent to the home to enable both residents and relatives to express their views directly to the commission, three from residents and eighteen from relatives. Comments from these cards will be included in this report. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced living at the home. Four staff were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care. From speaking with residents the inspector gained the impression that the standard of care provided by the management and the care team is of a high standard. The inspector also took the opportunity to observe the interaction between both residents and staff. It was noted that the atmosphere within the home was jovial and relaxed and that the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. Mrs Wyatt has advised the Commission for Social Care Inspection that she intends to build an extension to the existing property and carry out some internal alterations to existing rooms. An application to vary conditions to registration has been submitted. What the service does well: Residents spoken with confirmed that the staff provide a good quality of care and that they were aware of their care needs. Staff were observed to carry out their duties in a relaxed and professional manner. The standard of cleanliness throughout the home was of a very good standard. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 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. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 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 standard(s) 3,6 The pre admission assessment enables the management to determine that the needs of person admitted to the home can be met. The home does not provide intermediate care. EVIDENCE: The pre admission assessments seen on all new admissions indicate that health, personal and social needs of prospective residents are assessed information gained at this time is used to devise a care plan for the prospective resident prior to them being admitted to the home. Service users spoken with confirmed that they were visited either by Mrs Wyatt or Mrs Heffron prior to their admission to the home, they also told the inspector that they are invited to visit the home prior to being admitted. Intermediate care is not provided. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 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 standard(s) 7,8. The care needs of residents are documented in individual Care Plans, which enables staff to monitor and maintain continuity of care. Resident’s privacy and dignity were observed to be maintained. Health needs are met via consultation with resident GP’s and other health professionals. EVIDENCE: Five care plans were reviewed. They identified the individual needs of residents. Residents spoken with confirmed that they are aware that information regarding their care needs is being kept and that staff refer to them in order to carry out care tasks. Care plans contained all relevant information, including risk assessments for manual handling, and nutritional assessments. One resident said ‘I feel the home is run in the best interests of the us the residents and that you can’t have anyone who cares for you like Mrs Wyatt’. During the course of the inspection the inspector was able to observe staff maintaining resident privacy and dignity by knocking on doors prior to entering their rooms. Residents who were asked confirmed that staff ensure that they are appropriately covered when being taken to and from the bathroom. A number of relatives commented that they felt that their relatives The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 10 on occasion have to wait an excessive amount of time before staff answer the call bell resulting in the urinary accident. During the course of the inspection the inspector noted that the call bells were answered promptly. Residents spoke with told the inspector that ‘generally the call bells are answered within a reasonable time but that there are occasions when we may have to wait,’ but they also said that they are aware that the staff may be tied up with another resident’. Comments from relatives also included positive remarks such as ‘Very well run nursing home. Done in a very caring professional manner. Keep very comprehensive accurate records about my fathers needs’, ‘A well run establishment with caring staff’ and ‘ I am more that satisfied with the standard of care and the caring attitude of both nursing and care staff’. One Resident commented ‘Why the same questions over and over again? I am very thankful to be here’. Residents are registered with a local GP surgery , one resident confirmed that she only has to ask and Mrs Wyatt or Mrs Heffron and one of them will call out a doctor. Other paramedical services are provided either by domiciliary visit or by appointment in the community. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 Residents are enabled to satisfy their social, religious and recreational interests, which assists them to live a fulfilled life with in the home setting. Residents feel that they are able to exercise control over their lives. EVIDENCE: Service users spoken with confirmed that they have the opportunity to take part in the homes programme of activities. Activities include music and movement, arts and crafts games and outside entertainment. Residents confirmed that they were able to take part in the planned activities or pursue their own interests as they wish. Residents told the inspector that a hairdresser attends the home weekly. Residents who were asked confirmed that they felt able to exercise choice and control over their lives. Examples given were being able to get up or go to bed when they want and to take part in social activities if they so desired. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 12 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 standard(s) 16 Residents are able to raise their concerns via the homes complaints procedure. EVIDENCE: There is a clear complaints procedure, which is included in the Statement of Purpose and Service User Guide. The records of complaints were reviewed. Residents who were asked were aware of the compliant procedure and said that they would use it if required. Those who were asked confirmed that they would speak first with Mrs Wyatt or Mrs Heffron and that all concerns are generally dealt with promptly. They also confirmed that they are able to speak with members of staff about any concerns they may have. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 13 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 standard(s) 19,26 The home is well maintained and the standard of cleanliness throughout the building is of a high standard. EVIDENCE: Whilst touring the home the inspector was able to establish that the physical environment is well maintained. Resident’s rooms can be furnished with personal belongings which gives them a homely, individual appearance and atmosphere. All radiators have been fitted with covers to reduce the risk of accidental burning. Bathrooms and WC facilities are provided in sufficient number to meet the needs of the current service users. One relative’s comment card raised concerns regarding his relative’s feeling ‘imprisoned in her lower room floor as the nurses cannot lift her in her wheelchair up and around the awkward stairs in the corridor or over the threshold into the garden outside’. The inspector spoke with the resident who confirmed that she has been offered alternative accommodation but is reluctant to move rooms. The inspector confirmed that due to manual handling legislation staff cannot life residents whether they are in a wheelchair or not. The resident concerned was The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 14 happy for the inspector to speak with Mrs Wyatt about the situation. Mrs Wyatt advised the inspector that she is aware of the situation and does intend to address the situation by putting a ramp in place however this may not be in place until later this year. The standard of cleanliness throughout the home was of a high standard. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,30 Staff were on duty in sufficient numbers to met the needs of the current resident. The skill mix of staff was observed to be appropriate. EVIDENCE: Information submitted with the pre inspection material and duty rotas seen at the inspection indicate that staff are employed in sufficient numbers to meet the needs of the current residents. Duty rotas indicate that there are generally seven nursing/care staff on duty consisting of one to three trained nurses and the remaining care staff. Three housekeepers, two servary assistants, a cook and an assistant cook in the mornings. Five Care assistants one nurse, one servary assistant and one cook in the afternoons/evening and one trained nurse and three care assistants at night. Records seen and staff spoken with at this inspection evidence that staff receive induction training and are offered the opportunity to undertake an NVQ qualification. Staff spoken with confirmed that they receive regular supervision and are also able to share their views at handover and staff meeting. All said that they felt supported and listened to by the management and senior care team. Staff were aware of the Adult protection policy and were able to tell the inspector what they must do if they suspect that a resident is being abused. Staff were observed to be relaxed and confident whilst carrying out their duties. The inspector noted that they were also respectful when talking or assisting residents. The homes detailed training The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 16 programme was available. Staff undertake both mandatory and optional training. The home currently has nine staff enrolled on an NVQ level 2 award scheme. Trained staff attend training in line with their governing bodies prep requirements. Fire safety training records indicate that despite the training officer efforts to ensure all staff receive fire safety instruction eight staff did not attend the last fire lecture and have not received fire safety instruction in the last six months. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 17 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The financial interests of service users are being safeguarded. EVIDENCE: The pre inspection documentation submitted to the Commission prior to the inspection indicates that staff at the home do not handle the financial affairs of residents. Residents spoken with confirmed that they or their relatives handle their financial interests. Small amounts of money can be held for resident on request. Records seen of transactions were available and appeared to be in good order. The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x x The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 19 NA 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 30 Regulation 23 4.e Requirement Ensure, bu means of fire drills and practices at sutiable intervals that persons working in the home, and so far is practicalbe residents are aware of the procedure to be followed in the event of a fire. Timescale for action 16.08.05 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 The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 The Beeches H60-H11 S24222 The Beeches V227205 050705 Stage 2 Version 1.30 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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