Inspection on 09/02/06 for The Beeches Nursing Home

This inspection was carried out on 9th February 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 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 Nursing Home 11/11/08

The Beeches Nursing Home 21/05/08

The Beeches Nursing Home 07/11/07

The Beeches Nursing Home 05/09/06

The Beeches Nursing Home 16/09/05

The Beeches Nursing Home 21/10/04

The Beeches Nursing Home 09/06/04

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE The Beeches Nursing Home 320 Beacon Road Wibsey Bradford BD6 3DP Lead Inspector Pamela Cunningham Announced Inspection 9th February 2006 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 Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Beeches Nursing Home Address 320 Beacon Road Wibsey Bradford BD6 3DP 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) 01274 608656 01274 870099 Victorguard Care plc Mrs Janice Low Care Home 64 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (1), Physical of places disability over 65 years of age (64) The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The place for MD(E) is specifically for the service user identified in the application dated 26.8.4 16th September 2005 Date of last inspection Brief Description of the Service: The Beeches Care Home is a purpose built facility situated in the Wibsey area of Bradford It provides care for 64 Elderly people with Physical Disabilities over the age of 65 yrs. It is serviced by a regular bus route, and there are ample parking places available. There are pubs, shops and churches nearby. Care is provided on two floors, in 63 single rooms. There is also a spacious dining room on the ground floor of the home with panoramic views over Bradford where residents can sit and dine in congenial settings. There are three ample sized lounges where residents may choose to spend their day. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 16 September 2005. This was an Announced inspection carried out by inspector. The main purpose of this inspection was to make sure that the home provides a good standard of care for the service users and to assess progress on meeting any requirements or recommendations made at the last visit. The methods used at this inspection included looking at care records; observing working practices and talking to staff, service users, relatives, and to the manager. What the service does well: The home provides a welcoming atmosphere and prospective residents are encouraged to visit the home, if at all possible, before moving in. The staff are smart and professional in their approach. Visitors are made welcome and are offered refreshments. The gardens are well maintained and are well used by the residents with seating areas provided. The home offers an exceptional activities programme for the residents. The interior of the home is exceptionally clean. Care planning is of a very good standard. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 the following standard(s): 1 and 3 EVIDENCE: Very good information is provided to prospective residents showing how the home is run and how the staff are trained. The manager takes responsibility for checking the prospective residents needs can be met before admission is agreed. A trial visit is then offered so that the prospective resident can check if the home is suitable for them. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 the following standard(s): 7, 10 and 11. The health care needs of residents are met and care plans provide clear and detailed instructions for staff to follow. Residents are treated with respect and their privacy is upheld. Staff are aware of the residents’ needs and there is good communication amongst the staff group. Residents are treated with dignity and their privacy maintained at all times. Staff treat residents with dignity, maintain their privacy at all times and show an awareness of the residents’ needs. EVIDENCE: Care plans chosen for review and case tracking identified needs were identified, and adequate care plans written following a pre-admission assessment. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 10 The medication system is safe. Residents are protected by the robust polices in used. West Yorkshire Police did a drugs check at the home in 2005 Relatives are asked about the residents preferences of end of life situations. GP’s are involved in any multidisciplinary decisions regarding this. The relatives of deceased residents are contacted by the Coroners Officer if a death is unexpected. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 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 the following standard(s): 12 and 15 Residents’ choices are respected and contact with family and friends is encouraged. Social activities are well planned. A good, varied and nutritious diet taking into account individual choices is provided at the home. EVIDENCE: The home employs two activity organisers who consult with residents on a regular basis about the activities they like. Recently trips have been made to Bridlington, the White Rose Centre and Meadowhall in Sheffield. I was told that no resident had expressed a wish to go way on holiday, although many go out with relatives for pub lunches, to relatives homes for Sunday lunch and to Church. One lady resident I spoke to said although she did not take part in arranged activities, she was always kept busy, knitting for staff who were expecting babies. She was currently working on making a rucksack for a teddy bear. Activities were taking place in the large lounge during the inspection, and one group of gentlemen said how much they enjoyed playing dominoes. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 12 Another lady resident said she has plenty of visitors, and went out shopping with one of the activity organisers the day before the inspection, which made her feel special. The same lady said that she didn’t enjoy the food very much, that it wasn’t to her liking. I spoke to the chef and suggested he spoke with her to get some idea of the foods she liked. He told me he had already done that the day before my visit, and had cooked something individually for her, but that she hadn’t liked what he prepared The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 13 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 the following standard(s): All standards were assessed. Complaints are dealt with appropriately. The home has a detailed complaints and adult protection procedure which is robust and protects service users. The level of staff understanding gives assurance that complaints will be taken seriously and service users will be protected from abuse. EVIDENCE: There has been one in house complaint which was dealt with, appropriately handled responded to in writing and resolved to the satisfaction of the complainant. Documentation pertaining to the complaint was reviewed. Residents have postal votes or are taken to the local polling station. Any unopened polling documentation is returned to the returning officer. Resident’s are enabled to se solicitors in the privacy of their rooms, and advocacy is sought for those residents requiring it. NVQ training contains a section on abuse awareness, however to supplement this the manager has bought videos on the subject, and care staff are provided with workbooks. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 14 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 the following standard(s): All standards were assessed. The home offers a safe, well-maintained environment for the residents and provides appropriate bathing and toilet facilities. The system of laundering soiled linen negates the possibility of cross contamination occurring. The standards of cleaning are consistently high throughout the home. EVIDENCE: The owner keeps a high profile in the home to ensure that health and safety standards are implemented. The manager being the Health and Safety representative for the home has completed training in this. Communal areas are kept to a high standard and are spacious and comfortable. Bedrooms are redecorated and refurbished as they become vacant. Since the last inspection double rooms have been converted into single rooms. All rooms with the exception of 2 have en-suite facilities. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 15 Residents who wish, have keys to their personal accommodation, and have had risk assessments undertaken. Each bedroom contained personal belongings and was arranged according to the preferences of the occupant. Some residents have a private telephone line. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 30 Staffing numbers and skills ensure that residents’ needs can be met. Staff are trained and competent to do their jobs. EVIDENCE: Staff were present on duty on the day of the visit in sufficient numbers and of appropriate skill mix to meet the needs of the residents. Training takes a very high priority in the home. The home has enlisted an external trainer to provide Palliative Care training for all staff; this takes place either at one of the other homes in the group, or at the Marie Curie centre in Bradford. I was told that the training is provided in conjunction with Bradford University, and that there is a package put together by the Macmillan Nursing Services with workbooks, which is supported by the University and tailored specifically for care homes. NVQ training is on going with 60 of the care staff in the home having either achieved level 2 or level 3. Other training taking place in addition to mandatory training is management training for the qualified staff. Training in challenging behaviour, Falls risk management, administration of medication of medication, Infection control, First Aid, Health and Safety training, continence care and food hygiene. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 17 The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 34 The home is very well managed and the manager is well able to discharge her responsibilities. She offers good leadership to the staff and ensures the residents are protected and cared for in a correct manner. Staff are well motivated, residents are consulted and their interests are safeguarded at all times, the interests of the residents are seen as very important to the manager EVIDENCE: There is soon to be a change of manager. The company have identified a prospective manager to take over the role, and an application form has been forwarded in respect of this. This should be returned with the appropriate fee, which at this time is £518. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 19 Resident satisfaction questionnaires are being sent to all residents and close relatives at the end of February. These, when returned anonymous or not are audited and kept for reference, this enables any changes in the service to be recognised and acted upon. The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 20 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 4 4 4 4 4 4 STAFFING Standard No Score 27 3 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 3 x x x x The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action 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 The Beeches Nursing Home DS0000029133.V272960.R01.S.doc Version 5.0 Page 22 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. 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