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Inspection on 12/12/07 for The Beeches Care Home

Also see our care home review for The Beeches Care Home for more information

This inspection was carried out on 12th December 2007.

CSCI found this care home to be providing an Adequate 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a pleasant, homely atmosphere, which the housekeeping team help to maintain, and residents` personal rooms are comfortable and personal items are encouraged. The home is well maintained in all areas and the development of a Reminiscence room is nearing completion. Residents commented the food has improved and they can have a cooked breakfast if they wish. "There are a lot of choices of what to eat now, and we have fresh food, not just frozen," said one resident. Residents expressed their support for the new providers after the changeover in July, saying things have "dramatically improved" and that, "They listen to what we have to say, and things are changing for the better." The Home`s newsletter keeps residents and their relatives informed about what has been happening, what events are planned, and what changes are being made at the home.

What has improved since the last inspection?

This is the first inspection following registration of the new providers, Beeches Care Homes Ltd. Therefore, although there have been a number of new practices and procedures implement and other improvements made, these have not been identified in this section.

What the care home could do better:

Individual Care plans must be developed with agreement of the resident or their representative. They must look at all areas of their life, including reference to equality and diversity, as well as addressing any needs identified, in a person centred way. This is important to support the mental and physical well being of the residents and to encourage their independence and aspirations. Risk assessments must be completed fully, to ensure risks are properly identified and dealt with in the most suitable way for each resident. To ensure residents are safe, but also have opportunities to take risks and be as independent as possible. Staff files should include records of completion of induction training, to assist with the personal development and competence of staff members.

CARE HOMES FOR OLDER PEOPLE The Beeches Care Home Darnhall Crescent Bilborough Nottingham NG8 4QA Lead Inspector Lee West Unannounced Inspection 12th December 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Beeches Care Home Address Darnhall Crescent Bilborough Nottingham NG8 4QA 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) 0115 929 4483 0115 916 1539 Beeches Care Homes Limited vacant Care Home 43 Category(ies) of Old age, not falling within any other category registration, with number (43) of places The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following category of service only: Care Home Only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following category: 2. Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 43 New Service Date of last inspection Brief Description of the Service: The Beeches Care Home, situated close to a variety of shops and local facilities, within a housing estate, can accommodate up to 43 people, has recently been purchased, and is run by Beeches Care Home Ltd. The accommodation, situated over two floors, with a shaft lift for independent access, is homely and pleasantly decorated. There are well-kept gardens, providing an outdoor seating area, with a car park at the front of the building. The current fee levels are between £323.36 and £345 dependent on levels of care needs, the contracting authority or privately funded. The fees do not cover items such as hairdressing, toiletries, clothing or trips. The registration certificate was displayed in the foyer area, showing the category of people the home can accommodate and the updated service user guide and statement of purpose were on display for everyone to see when signing into the home, with copies available if needed. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection was unannounced and involved one inspector. The main method of inspection used is “case tracking”, which involves selecting four residents and looking at the quality of the care they receive by speaking with them, observation, reading their records, and asking staff about their needs. Members of staff and visiting relatives were also interviewed. Documents, including care plans, medication administration records and financial records were inspected to help form an opinion about the health, safety and welfare of residents at the home Information supplied to the commission by the manager, on the Annual Quality Assessment, with information received by the Commission about the home, since the last inspection, were also considered, and helped the decision of which areas to focus on. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. What the service does well: The home has a pleasant, homely atmosphere, which the housekeeping team help to maintain, and residents’ personal rooms are comfortable and personal items are encouraged. The home is well maintained in all areas and the development of a Reminiscence room is nearing completion. Residents commented the food has improved and they can have a cooked breakfast if they wish. “There are a lot of choices of what to eat now, and we have fresh food, not just frozen,” said one resident. Residents expressed their support for the new providers after the changeover in July, saying things have “dramatically improved” and that, “They listen to what we have to say, and things are changing for the better.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 6 The Home’s newsletter keeps residents and their relatives informed about what has been happening, what events are planned, and what changes are being made at the home. 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 summary of this inspection report can be made available in other formats on request. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 4, 5, 6, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have sufficient information within the statement of purpose, full needs assessment and with opportunities available for visits encouraged, to make decisions about the suitability of the home for them. EVIDENCE: The statement of purpose and service user guide includes information about the services provided, recently updated to identify support for people with dementia, as The Beeches have applied to be registered to admit people with dementia. The service user guide was on display in the foyer, together with a copy of the last inspection report and current certificate of registration. Residents spoken with said they were given enough information about the home to make a decision about its’ suitability. One said, “I was given the The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 9 opportunity to come and stay for a short visit, which helped me find out if I liked the place.” Pre-admission assessments were seen in all records case tracked, identifying the care needs of prospective residents, including a thorough assessment for a resident receiving respite care, which identified areas of support and areas to be encouraged to be independent. One resident spoken with, being supported with respite care, said, “the home is nice, the food is good and everyone is helpful and tries their best, but I am looking forward to going home.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care plans and had not been completed for all residents, and didn’t identify the kind of support needed, which impacts negatively on the standard of care for residents. Incomplete, basic risk assessments didn’t fully identify risks, or provide strategies to enable residents to take appropriate risks to enhance their wellbeing and maintain their safety. EVIDENCE: Although residents’ case tracked had pre-admission assessments, not all had care plans developed from these. One resident, recently admitted, had no plan. Others had information on the assessments, which was not transferred to the plans. One resident was “very poorly sighted,” but this was not identified, or addressed, in the care plan. Another stated, “a resident is aggressive if misunderstood,” but this was not identified as a need, nor was there any action established to recognise, or deal with this situation. Plans seen were task orientated and not person centred. They identified “full assistance needed,” but not what was required and lacked any reference to The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 11 any of the residents’ individual race, religion, gender, sexual orientation, disability, preferences or wishes. Following this visit, a copy of a 24-hour care plan was submitted to the Commission. This identified the routine, skills and support needed. It described choices the resident would make, for example, “is able to choose what clothes she wants to wear, but you may have to provide reassurance with her choice of clothes.” Also, “on occasions may ask to go to bed in the afternoon, however staff need to be aware that she does on occasions get straight back up and may wander.” This record gave much more information about the resident, but still did not identify the type of support required, for example, “needs support to have a wash and clean her teeth,” to enable staff to give assistance of the kind required. It also stated the resident, “likes to participate in the home’s activities and does not need much encouragement, but does need support.” But, this does not identify how the resident likes to spend her leisure time, what sort of activities she likes, or doesn’t like, which would enable staff to make sure she has the opportunity to take part in things she prefers, increasing her level of well-being. Risk assessments were in place, but these did not give sufficient information to make an informed assessment. One stated the resident could walk safely, unaided, however further down the form stated, “a rolator aid was used and requires a wheelchair,” but there was no information to explain the reasons for this. Procedures for safe storage, handling medicines, supporting and protecting residents who wished to self-medicate were in place, together with evidence of training received by staff who administer medication. However, during lunchtime the staff members administering medication did not work in line with these. We observed the staff member signing the Medicine Administration Record before the medication was taken and leaving the medications trolley unattended and unlocked when taking medicines to residents in areas away from the dining room. Although there were other staff members present, they were not alerted for support when the staff member left the room, which could have given anyone an opportunity to remove medicines from the trolley. On discussing this with the staff member she was unaware of her actions and the Operations Director, who was present during the visit, immediately took steps to deal with this matter, to protect residents from any prospect of harm. He organised support and training for the member of staff. Residents spoken with were very happy with the new providers’ approach to their care. They said they were treated with respect and dignity and, “nothing is too much trouble for them. Things are so different now, I feel I can ask them anything.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 12 Residents were observed interacting with staff in the lounge and dining areas and this was light-hearted and cheerful, with one carer singing to a resident who said, “I love her singing to me and she makes me laugh too.” The residents were also being treated with respect and dignity and confirmed this. One said, “everyone here has always treated me with respect, they knock on my door before coming into my room, but most of all, they treat me like an adult.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Activities and facilities are in place, and being developed, to provide a variety of outings, mental stimulation and physical activity, which support a positive outcome for the residents. Food is nutritious with choices available. EVIDENCE: Although personal preferences and interests were not identified within the care plans, carers spoken with had an in-depth knowledge of the residents and were able to demonstrate this during a discussion, which supports residents’ well being. Interactions between staff, residents and visitors were observed. These were positive, respectful and encouraging, with residents and staff sharing laughter and conversations, particularly evident when residents were in the dining area for the two meals observed. The Beeches now employs an activity co-ordinator for twenty hours a week and the December newsletter highlighted some of the activities which had The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 14 recently taken place outside the home, as well as what was arranged for Christmas and January. These included activities which relatives and friends were able to join, a fireworks party, Christmas lights trip and the pantomime, Cinderella. Residents spoken with said activities had recently increased and there were many new things to do. One resident mentioned and enjoyed the Christmas fayre, which raised money for the residents’ fund. Relatives visiting were spoken with and one said, “there are lots more things going off now and this has improved things dramatically for my relative.” Staff, residents and relatives are working together to develop a Reminiscence room, which already has some suitable items in it, but staff and relatives have made appeals for more. Staff responsible for developing this room said they felt very excited at the prospect of making it work, to help those residents whose memories are beginning to fail. A group of local schoolchildren visited during the afternoon and sang a collection of Christmas carols and then chatted with the residents. Refreshments were provided for the children and residents following this activity and residents said they enjoyed the company and the singing. Food for the two meals observed was nutritious and appetising. There were three choices for lunch, roast chicken, hotpot or mince and onions, all with fresh vegetables. This was served in a pleasant dining area. Residents were offered choices for each meal and those spoken with were all complimentary about the quality, amount and choice of food offered. One resident said, “the food is much better now, much better quality, with fresh food, not just frozen, and we can have a cooked breakfast if we want one.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns and are protected from abuse, with staff who know the importance of listening and responding to these concerns. EVIDENCE: There were no complaints recorded at the home, or received by the Commission, and there was a complaints procedure available for each resident, with a copy displayed in the foyer area. The acting manager said there had been no complaints since the new providers had taken over the home. Residents spoken with said they were happier with the new owners as they are “prepared to listen and take our views into consideration.” The interactions between the Operations Director and residents whilst in the lounge area were observed, with residents interacting positively and saying what they wished to him, whilst he gave positive, respectful and constructive responses. Staff have received training in safeguarding adults procedures and when questioned, were able to demonstrate their knowledge of their roles in this activity to protect their residents from any harm. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 16 Residents spoken with were satisfied any complaints would be listened to and also said they felt safe and secure within the home. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 23, 24, 25, 26, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a homely, clean, safe, comfortable and well-maintained environment, with private rooms reflecting the individuality of the resident using them. EVIDENCE: The home had been decorated for Christmas, creating a homely and festive atmosphere. Individual rooms were personalised with furniture, ornaments and pictures. Bathrooms, toilets and communal areas were also clean and hygienic. The home has a housekeeping team, who consistently maintain a high standard of cleanliness and residents say, do an excellent job. A relative said, “they work hard to keep the home clean and fresh, and also spend time talking with my relative when they are doing her room.” The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 18 Some of the chairs within the large lounge were positioned to offer views of the garden and create small groups, to encourage interactions between small groups of people. For residents who choose to smoke, a small, well-ventilated lounge has been used, with comfortable furniture and access to the emergency call system, to enable residents to summon help if necessary. A matrix for improvements to the environment was sent to the Commission, which identified all the areas undergoing improvement and the timescale for this to take place, and the Annual Quality Assurance Assessment stated residents and relatives were involved in planning the refurbishments. Residents spoken with said they were kept informed, and they were particularly looking forward to the reminiscence room and its contents, which would “bring back some happy memories from my childhood,” said one resident. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home’s recruitment procedures meet the national minimum standards and are followed in practice, supporting residents with suitably skilled staff. EVIDENCE: The home has a robust recruitment policy, which protects residents, with staff who have been properly interviewed and have current Criminal Records Bureau checks and references in place. Staff working during the day were sufficient in number to meet the needs of the residents, with two seniors and 3 carers carrying out the necessary assistance, supported by kitchen and domestic staff. There are two carers working on the nightshift at present. The Annual Quality Assurance Assessment stated regular reviews of staffing levels and skill mix are undertaken, in line with residents’ dependency. No changes had been made at present, but require review, in view of the layout of the building and the complex needs of residents. Staff spoken with said they were really stretched sometimes and that they find it difficult to carry out all they are expected to in a shift, but generally there are enough staff working at the busiest times. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 20 Staff records contained evidence of training. 70 of staff have achieved National Vocational Qualifications at level 2 or above. Staff spoken with said they had undergone induction training, but this was not recorded in their staff files. One staff member said, “we have training on anything we want. Dementia training is the latest training I have had.” Residents said they felt their carers were, “skilled and very caring,” and that they felt supported and safe and protected. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36, 37, 38, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Management of the home is based on openness and is run in the best interests of residents, with a supervised and well-supported staff team. EVIDENCE: In late July 2007, the new provider took over the running of The Beeches. Since that time records show, policies and procedures have been updated and implemented. The acting manager has recently applied for registration and the outcome of this is awaited. The Operations Director provided an overview of the new documentation and how it should be used. Residents and visitors spoken with were all positive about the changes. All felt the new providers were responsive to their needs and ideas. One said, “the The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 22 new owners are prepared to listen and take in our views, activities of late have improved, there’s much more happening, it’s a much happier place now.” A resident was on the interviewing panel for the recent senior posts and had their input taken into account when the decision was made, which helped empower the residents to have a voice in who provides their care. The December newsletter gave the date of the next relatives’ meeting, and relatives spoken with said they were aware of this. Staff spoken with said they were very positive about the new management of the home and that “everything is done to make the residents’ lives better,” but they also said they felt much more involved in the home now, particularly the domestic staff who previously felt isolated. Another staff member said, “everyone feels so much more valued now and the care plans and involvement with paperwork has helped make us feel this way.” Regular staff meetings, including all staff, were taking place. During these the domestic staff in particular said they felt much more part of the team and it was their idea to develop the Reminiscence room, which has the full support of the rest of the team. They also said no supervision had been done for a long time, but was beginning to take place again. The deputy was carrying this out, and records for this were seen in the staff files. Residents said they had access to their money whenever they needed it, and records seen were accurately kept for each individual. Records of monitoring and analysing accident were seen, which were being used to monitor the standards of care provided and staffing levels, but evaluation had not yet taken place due to an insufficient time elapsing since the change of ownership. The Annual Quality Assurance Assessment included dates of the statutory health and safety, maintenance and equipment servicing and testing, to protect the safety and welfare of residents and staff and records checked during the visit reflected these dates as accurate. The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 X X 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 3 3 3 The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP7 Regulation 15(1) Requirement Person centred care plans must be developed for all residents, which identify and address physical, psychological, social and leisure needs, personal preferences and wishes, as well as specifying the actions needed, to provide the assistance residents require to meet their needs and improve their wellbeing. Risk assessments must be completed fully, to ensure risks are properly identified and dealt with in the most suitable way for each resident. To ensure residents are safe, but also have opportunities to take risks and be as independent as possible Timescale for action 17/04/08 2. OP7 13(4)b 17/04/08 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 Good Practice Recommendations DS0000069993.V355217.R01.S.doc Version 5.2 Page 25 The Beeches Care Home 1. Standard OP37 Staff files should include records of completion of induction training, to assist with the personal development and competence of staff members The Beeches Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Care Home DS0000069993.V355217.R01.S.doc Version 5.2 Page 27 - 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!