Inspection on 02/02/06 for The Beeches (Wath)

This inspection was carried out on 2nd 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 (Wath) 17/03/09

The Beeches (Wath) 27/02/08

The Beeches (Wath) 06/11/07

The Beeches (Wath) 13/09/06

The Beeches (Wath) 13/09/05

The Beeches (Wath) 14/12/04

The Beeches (Wath) 18/05/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

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 (Wath) The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire Lead Inspector Janet McBride Unannounced Inspection 2nd February 2006 10:15 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Beeches (Wath) Address The Beeches Residential Care Home Carr Road Wath-Upon-Dearne ROTHERHAM South Yorkshire 01709 761803 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) paulhulbert@ntworld.com Winnie Care (Highgrove) Ltd Julie Morgan Care Home 44 Category(ies) of Dementia - over 65 years of age (44) registration, with number of places The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may admit four persons 60 years of age and over. Date of last inspection 13th September 2005 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector from the Commission for Social Care Inspection carried out this unannounced inspection at The Beeches, on the 2nd February 2006, commencing at10: 15 and finished at 16:00 hours. This was the home second Inspection since April 2005,any standards not covered in this inspection was covered in the unannounced inspection that was conducted early in the year. It may be the case that some standards will be covered twice in the inspection year 2005/2006, which is considered good practice, and consistent with a professional approach to regulation. During the Inspection we looked at chosen number of documents, sampling of records, tour of the premises and direct and indirect observation of staff interaction with residents, this Inspection also included individual and group discussions with residents, and feedback from relatives and visitors on the day. Any issues or concerns that were raised were discussed with the person in charge during and at the end of the Inspection. What the service does well: Residents live in a home that is managed well, with a manger and staff that are skilled and promotes choice and independence to all residents. Social activities are arranged by the home and residents are able to participate if they wish, and staff encourages links with the local community. During the visit there was a relaxed but busy atmosphere in the home, with visitors in and out most of the time and residents socialising with their peers and staff. Feedback from relatives and visitors state that they are kept informed of matters and issues that affect the resident, and are satisfied with the overall care provided also have access to the homes complaint procedure and Inspection reports. The home management ensure they keep the inspector updated with any issues that happen within the home, and the registered provider addresses any requirement made at Inspections. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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): 356 Admission procedures ensure that all residents are assessed prior to moving into the home, this assures that the home can meet their care needs. EVIDENCE: The home offer accommodation and personal care to residents and most residents who are admitted to the home have memory problems or are diagnosed with dementia; therefore there is regular involvement of; a consultant psychiatrist and CPN services that visit the residents. Evidence was seen in care plans that were case tracked, that care management assessments had been completed for residents placed by funding Authorities, and that self -funded residents had a written assessment prior to admission completed by the management of the home. Residents and or their families can visit the home prior to admission, and all residents have an initial six-week trial period prior to the placement becoming permanent. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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): 789 Each residents health, personal and social care needs are assessed and set out in a plan of care to ensure that each resident health care needs are fully met, based on their individual need, and medication regime within the home adheres to policies and procedures. EVIDENCE: Care plans were discussed with the deputy manager and two care plans were case tracked. Very comprehensive care plans that set out in detail what care is needed; with various assessment and risk assessments completed depending on need. Nutritional assessment completed on each resident when admitted to the home and weights checked on a monthly basis. Records show that care plans are reviewed on a monthly basis by key worker and audited by the deputy manager every month. Care plans were found to be of good quality and kept in good order. Resident’s health care needs were discussed with the deputy, who confirmed that most residents who are admitted to the home are diagnosed with dementia; therefore there is regular involvement of; a consultant psychiatrist The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 10 and CPN services that visit the home and are available for the home to contact if they have any concerns. The home keeps records of any accidents or incidents within the home, the accident book was examined and found appropriate records are kept, including written information if residents have attended Accident and Emergency, and if these were taken as a precautious measure or the residents required hospital admission. Records checked show that all residents are registered with a GP and district nurses are involved with some residents other services used is incontinence services, dietition and access to dental and chiropody services when needed. Medication standards were assessed, the home has appropriate policy and procedures for staff to follow, staff that administer medicines have completed an accredited medicines course with the deputy completing an advanced course. Random MAR sheets and records of controlled drugs were found satisfactory with all appropriate documentation. Evidence that the homes has regular visits from the local pharmacist and audits carried out with records available, the home manager also completes monthly audits of medication management, and these were available for the Inspector to examine. During the Inspection staff were observed delivering care to residents their approach and attitude was polite and patient in their interaction with residents, staff were noted to knock on bedroom doors before entering and those residents that were spoken to were happy with staff and the care they receive. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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 13 15 Social activities are well managed and support resident’s individual needs, providing variation and interest and links with the community are good. Dietary needs of residents are well catered for offering a balanced and varied diet that meets resident’s tastes and choices. EVIDENCE: Routines of daily living and social activities are quite flexible and residents have the opportunity to take part in internal and external activities. The homes activities co-coordinator was seen who gave examples of what’s been organised for residents, they try to offer activities that suit the client group and some activities are offered on a one to one basis for example two of the gentlemen want to visit the war museum and this as been organised for next week. Other residents wanted to go to a tea dance and this was organised for a few of the residents, staff stated that although they may not take part they enjoy watching. Evidence was seen that residents likes and dislikes are recorded and in residents meeting they were asked what sort of social activities they would like to attend. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 12 The home encourages links with the local community and has links with the local school; and some residents visit the local pub, they also go into Wath shopping. Residents can receive visitors at any reasonable time and they can meet in private if they wish. Evidence was seen those residents/ relatives meetings take places and during these meetings are consulted on various issues, e.g. activities, meals and personal care. The menus examined during the inspection identified that a varied and nutritious diet is available at the home. The food offered to residents during inspection looked appetising and portions were of a good size. The inspector was able to evidence that some all residents had nutritional assessments completed, staff also record what food is consumed and ensure that residents are weighed on a regular basis. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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): The key standards were assessed at the last Inspection and met. EVIDENCE: The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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): 19 24 The home is suitable for its stated purpose, and residents live in a safe and comfortable environment, which meets individual residents needs. EVIDENCE: Tour of the communal premises on both units were examined, all the accommodation provided meets the minimum standards and are furnished to promote comfort, but the carpets on both units are looking very stained, and lounge chairs on both units are showing signs of wear and tear, with some staining on the arms of the chairs. Random bedrooms were examined on both units, the bedroom doors have suitable locks that staff can access in an emergency if needed, but not all residents are capable of holding keys to their bedrooms. All the accommodation provided meets the minimum standards and are furnished and equipped to meet resident’s needs. Residents can bring personal The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 15 furnishings with them on admission, and some rooms had been personalised by individual residents. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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): 28 30 Staff are trained and have the skills and knowledge to fulfil their roles within the home. EVIDENCE: Staff can access NVQ training, the home has 35 care staff employed at the present, out of this number seven staff have completed NVQ training either 2 or 3,and 10 more members of staff are working towards NVQ training courses. The home is committed to meeting the target of having at least 50 of care staff with NVQ qualifications. All care staff undertakes the TOPPS induction training on commencing employment at the home, no new staff was available to comment at the time, but this was discussed with the homes deputy manager and records were available to examine which provided evidence that new staff had attended a one day TOPSS course at Barnsley College. The company are committed to training and development of staff and this was confirmed when three members of staff were seen on the day, they stated that they received training, e.g. dementia courses, abuse and whistle blowing, safe handling of medicines and the activities co-ordinator had been on a ten week course to develop her role and she confirmed that this was very useful and developed her skills in providing suitable activities for the homes client group. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 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 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 38 Residents live in a home that is managed well, with a manger and staff that are skilled and experienced and ensures so far as is reasonably practicable the health, safety and welfare of residents are protected. EVIDENCE: The manager as the skills and experienced to run the home and as just completed the registered managers award, and his going to complete a dementia course to ensure she’s aware of the conditions that are relevant to most of her client group within the home. Health and safety was discussed with the staff seen and maintenance and service records examined, which were up to date with current certificates for lift and hoists within the home. The home had the required Health and Safety policies and procedures and displays the relevant notices. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 18 Fire safety procedures are in place and service records were examined and were current, ensuring the safety of residents within the home. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 19 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 X X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 X X X X 3 X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X X X 3 The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 20 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 OP19 Regulation 23(2)(b) Requirement Premises must be kept in good state of repair and décor with reference to; 1) Carpets in lounge areas on both units. 2) Lounge chairs in both units Timescale for action 30/04/06 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 Refer to Standard OP28 OP31 Good Practice Recommendations The Registered provider should ensure that a minimum of 50 of care staff have NVQ Level 2. The manager should complete a Dementia course to ensure she’s aware of the conditions that are relevant to most of her client group within the home. The Beeches (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr 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 (Wath) DS0000055216.V281698.R01.S.doc Version 5.1 Page 22 - 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!