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Inspection on 13/09/05 for The Beeches (Wath)

Also see our care home review for The Beeches (Wath) for more information

This inspection was carried out on 13th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 encourages links with the local community and has links with the local school; social activities are arranged by the home and residents are able to participate if they wish, and staff promotes choice and independence to all residents. During the Inspection staff was observed promoting residents privacy and dignity at all times, which was reiterated during interviews with staff, and they also demonstrated good knowledge of residents care needs. Feedback from comment cards state that relatives are kept informed of matters and issues that affect the resident, have access to the Inspection reports and are satisfied with the overall care provided.

What has improved since the last inspection?

The home has a variation to enable them to admit residents 60 years old, the manager has produced an action plan that outlines key areas to consider when admitting these residents, and those in the home at the time of Inspection appear to have settled and their needs met.

What the care home could do better:

Regulation 37 notifications must be sent to the Commission for Social Care Inspection to inform the Inspector of any incident that affects the well-being of residents.

CARE HOMES FOR OLDER PEOPLE THE BEECHES RESIDENTIAL CARE HOME Carr Road Wath-Upon-Dearne Rotherham S63 7AA Lead Inspector Janet McBride Unannounced 13th September 2005 13:20 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 RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Beeches Residential Care Home Address Carr Road Wath-Upon-Dearne Rotherham South Yorkshire 01709 761803 01709 761804 paulhulbert@ntlworld.com Winnie Care (Highgrove) Ltd 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) Julie Morgan Care Home 44 Category(ies) of Dementia - over 65 years of age (44) registration, with number of places THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit four persons 60 years of age and over. Date of last inspection 14 December 2004 Brief Description of the Service: The Beeches is a purpose built registered care home providing personal care for up 44 older people whom have dementia. The home is situated in the Wath Upon Dearne area of Rotherham and is owned by Winnie Care (Highgrove Ltd). They also own other homes in the surrounding area. The home is organised into two units of twenty-two single rooms, one on the lower and one on the upper floor. There is a lift to gain access to the upper floor for service users unable to use the stairs. All rooms have en-suite facilities. There are two sets of single bedrooms that have adjoining doors in order to provide two double rooms if they are requested. There is a small, enclosed garden with a patio area for service users to use and car parking spaces are provided at the side of the building. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A statutory unannounced Inspection was completed on the 13th September 2005,starting at 13.20 and finished at 18.00 hours. During the Inspection we looked at a chosen selection of the National Minimum Standards, sampling of records, document reading, partial tour of the two units and direct and indirect observation of staff and residents. Discussion with management, interviews with staff members and discussion with residents and visitors in the home at the time of the Inspection. A number of comment cards were left at the home for relatives and visitors to complete, some of which were received back and their comments included in the report. What the service does well: What has improved since the last inspection? The home has a variation to enable them to admit residents 60 years old, the manager has produced an action plan that outlines key areas to consider when admitting these residents, and those in the home at the time of Inspection appear to have settled and their needs met. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 6 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 RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 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 RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 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) None of these standards were assessed at this Inspection. EVIDENCE: THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 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) 10 Residents are treated with respect and privacy maintained. EVIDENCE: During the Inspection staff were observed conversing with residents and promoting privacy and dignity when required. Staff that was interviewed demonstrated good knowledge of residents care needs and aware of residents capabilities and stated that if residents are able to make choices, they are consulted and their wishes carried out. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 10 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 13 14 Social activities are arranged by the home and residents are able to participate if they wish, and staff promote choice and independence to all residents. EVIDENCE: The home has a new activities person in post; she was interviewed and asked about her role within the home. She tries to ensures that residents and likes, dislikes and hobbies are recorded, and evidence was available that any social activities that residents take part in are documented. Links with local community are encouraged and visits to local shops and pubs for lunches take place. She his very enthusiastic about her role and the company should support her training needs to ensure she can develop her role. Visitors seen on the day confirmed they can visit at any reasonable time, and can see their relatives in private if necessary, both floors do have quiet rooms for visitors. Fulfilment can be difficult to provide into the lives of residents who are vulnerable and require ongoing supervision, but it was evident when interviewing staff that they are committed to maximise choice and independence to all residents. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 11 Feedback from comment cards state that relatives are kept informed of matters and issues that affect the resident, have access to the Inspection reports and are satisfied with the overall care provided. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 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 18 Residents and relatives are provided with information to enable them to raise concerns or complaints about the home and their care. Adult protection policies, procedures and training for staff are in place; staff had knowledge and understanding, which promotes protection of service users from abuse. EVIDENCE: The home has an appropriate complaints procedure with all the relevant details. Records show that any complaint was dealt with quickly and effectively with a recorded outcome. The home has adult protection policy and procedures in place and staff confirm they are aware of these procedures and that they have recently received updated training in abuse and this was also discussed in supervision sessions. Recent incident at the home resulted in a referral to Adult Protection; this was fully investigated by the adult protection team and was resolved, but waiting for the report. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 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 suitable for its stated purpose, and residents live in a safe and well-maintained environment, which meets individual needs in a comfortable and homely way. EVIDENCE: The home was purpose built and meets all the environmental standards, tour of the home found it to be clean and tidy and well maintained. A notice board that displays planned activities and other items of interest for relatives and visitors is situated in the entrance lobby of the home. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 14 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 28 29 Recruitment policies are followed ensuring the safety and protection of residents, and staff has the skills and knowledge to fulfil their roles within the home. EVIDENCE: Staffing was discussed with the manager; the home is fully staffed and has no vacant posts. Duty rota examined showed that the appropriate staff were on duty for the assessed needs of residents, although one visitor did comment that they feel the home is short staffed at times, but no evidence of this was found. The activities person is extra to the care numbers and the manager is supernummary and the deputy manager as some management hours each week, either the manager or her deputy is on call at all times. The home are committed to meet the 2005 target and hope to have 50 of staff with NVQ qualification, at the present eight staff has already completed NVQ training and other staff are on courses. Recruitment files of new staff were checked and found that the home operates a thorough procedure based on equal opportunities, references obtained and ensuring satisfactory police check for the protection of residents. All staff receive contract of terms and conditions and given copies of the code of conduct. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 15 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) 33 35 36 38 Residents live in a home that is run and managed by a manager that is skilled and experienced to run the home and ensures so far as is reasonably practicable the health, safety and welfare of residents and staff are protected. EVIDENCE: Records show that the home has various monitoring systems in place and these audits were available to examine. Although most of the residents are not capable of giving feedback on the service and care provided, the home send out questionnaires to relatives and visitors and offer support meeting at the home, these are minutes taken and these were available to examine. Procedures are in place to ensure the financial interests of residents are safeguarded, and a number of records were checked and found satisfactory. Staff receives formal supervision required to ensure they have the opportunities to develop new skills and knowledge. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 16 Accident reports are analysed by the manager to ensure risk assessments are developed where required, but when records were checked it was noted that the home did not send Regulation 37 notifications to the Commission for Social Care Inspection to inform the Inspector that residents had attended Accident and Emergency. Maintenance and service records examined were up to date and current to the services provided. The manager has the required Health and Safety policies and procedures and displays the relevant notices. Fire safety procedures are in place and service records were examined and were current, ensuring the safety of service users. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 17 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 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 2 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x 3 x 3 3 x 2 THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 18 yes 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 OP38 Regulation 37(1) Requirement Notification;must be sent to the Commission without delay of the occurrence of;see reference in Regulation 37 Timescale for action 13th September 2005 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. 2. 3. Refer to Standard OP12 OP28 OP31 Good Practice Recommendations Activities person should be supported to develop her role with further training provided. A minimum of 50 of care staff should have NVQ Level 2 before 2005. Should complete a management course (N.V.Q.level 4) by 2005,and complete Dementia course. THE BEECHES RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 19 Commission for Social Care Inspection 1st Floor, Barclay Court Heavens Walk Doncaster DN4 5HZ 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 RESIDENTIAL CARE HOME 20050831 Beeches(Wath) X00015 UI Stage 4 S55216 V186997.doc Version 1.40 Page 20 - 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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