Care Home: Beaconsfield Court Care Home

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What the care home does well Care plans are well organized and show that service users and their representatives are involved in the development of them. Medication is managed well. Complaints are responded to and people are protected. The home is well maintained, clean and homely. The acting manager has improved the standards in the home through taking corrective actions following audits and through communicating with service users and their representatives. These are some of the comments we received from service users and their relatives. "Good relations between staff and clients" "Look after my Dad. The girls are great." "Lots of wonderful home cooked meals. Lots of activities for people to choose to join. Friendly, caring staff around who try to chat." And "My mother is well cared for and I always get information passed on to me e.g. falls, change of medication, call out of G.P." They also told us "The home is much improved since it`s makeover. Quite smart and modern looking now." "I am happy that my Dad is in that home." "I am grateful for the care my relative receives here and pleased with it`s quality." And "Overall a nice satisfactory home. Staff always polite and pleasant." What the care home could do better: Ensure that staff are fully aware of how matters of dignity and respect should be managed in a communal setting. Monitor and maintain staffing levels in the home to ensure that sufficient numbers of staffare available at all times. Ensure that staff know when they are due to have a formal supervision session and produce an annual plan for staff supervision. Ensure that the home has an up to date electrical wiring certificate. This is what service users and their relatives thought the home could do better. "More staff to change those who are doubly incontinent." "Have a staff member take a few minutes on a half hour interval checking residents are safe." And "Toilets being checked. I have found on several occasions to be dirty. Basic cleaning of table in rooms." Random inspection report Care homes for older people Name: Address: Beaconsfield Court Care Home Galgate Barnard Castle Durham DL12 8ES three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jean Pegg Date: 1 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Beaconsfield Court Care Home Galgate Barnard Castle Durham DL12 8ES 01833637685 01833637694 Beaconsfield@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross Home Properties Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 32 Number of places (if applicable): Under 65 Over 65 32 0 old age, not falling within any other category physical disability Conditions of registration: 0 4 Up to 4 persons above the age of 55 may be accommodated within the category of Physical Disability (PD) commensurate with the home`s Statement of Purpose. Date of last inspection Brief description of the care home Beaconsfield Court is a registered care home with nursing, providing personal care and accommodation for up to 32 older persons, some of whom may require continuous nursing care. The home is owned by Southern Cross Homes Properties Ltd and operates within the private sector. The home is located near to the centre of the Care Homes for Older People Page 2 of 9 Brief description of the care home market town of Barnard Castle, close to local amenities. The home is a three-storey building, situated in its own private, well maintained grounds. Personal accommodation and communal space is located on all floors. Service areas are located on the ground floor. There are 30 single bedrooms and one double bedroom. Twenty three bedrooms have en suite facilities. All bedrooms are suitable for wheelchair users. These are all fairly spacious rooms. The weekly fees vary between £441.60 and £544.50 (residential care without continuous nursing) and between £462.81 and £755.70 for nursing care. The fee covers all accommodation, meals and personal care (plus nursing care for those residents in receipt of continuous nursing care at the home). Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. However, the actual amount people pay will depend upon their individual circumstances. Care Homes for Older People Page 3 of 9 What we found: This inspection was carried out on 10 May 2010. The visit lasted for four hours. In October 2007, the home was awarded an excellent quality rating. The purpose of this inspection was to see if the home was continuing to maintain that standard. When we visited the home we looked at records and documents held there, we talked to service users and staff who work at the home and we spent time talking to the acting manager of the home. Before we visited the home we asked the acting manager to complete a self assessment document. This document is called the Annual Quality Assurance Assessment document. The acting manager completed and returned the document to us on time. We also sent out surveys to people who live and work at the home. We received eight surveys from people who live at the home and two from people who work at the home. None of the surveys returned gave us cause for concern. We looked at care plans and medication records, complaints and adult protection referrals, the newly refurbished building, staff training and supervision records, the management arrangements for the home, quality assurance systems and maintenance records for the home. This is what we found. We looked at three care plans. Although some signatures were missing from one care plan, they all showed evidence of the service user or their representative having been involved in the development and agreement of those plans. The care plans were well organized and easy to follow. The care plan that did not have signatures in place was known to the acting manager. The pages that required a signature had been highlighted to remind staff that signatures were required when the person concerned was willing and able to sign. We were also shown a plan that identified when each care plan needed to be reviewed. This plan was up to date and we saw evidence of those reviews having been recorded and involving service users and their representatives. We also looked at how medication in the home was managed and found that regular audits take place and actions had been taken to improve the system used. We completed a sample stock check and found no discrepancies between the records held and the medication in stock. We did notice some examples of good practice in place. For example medication care plans, PRN (as and when needed) medication guidance and separate administration records to aid better stock control of PRN medication. We checked the complaints register and found it was up to date. The home has also shown that it is knowledgeable of and complies with the local authority adult protection procedure having recently made a referral. The manager of the home has also ensured that the Care Quality Commission was informed of the referral. We were told that training in safeguarding vulnerable adults had been organized for staff and managers. This training uses the local authority guidance and training materials. The home was clean and well furnished. The people we spoke to liked the refurbished communal areas and told us that they had been kept informed of progress and invited to help choose colour schemes. Whilst walking around the building we were able to see that a number of different activities were available for people to do. Staff were available on each floor, however, at some points during the day only one member of staff was available on each floor as the other member of staff was taking a break. We also observed some areas of staff practice that could improve for example, we observed a Care Homes for Older People Page 4 of 9 member of staff discussing dignity issues in a communal area, we also witnessed a member of staff removing a drink from someone without asking them if they minded. There was also a plate of sandwiches left beside someone wrapped in cling film before lunch was due to be served. These observations were passed on to the acting manager. The acting manager brought us up to date with the proposed plans for how the home would be managed. We were shown examples of internal quality assurance documents and audits that show that failures have been identified and dealt with. The acting manager told us that service user surveys were due to be sent out by the end of May. We were shown a staff supervision planner which had not been brought up to date. The planner only showed dates for January, however, the manager was able to show us evidence of supervision having been completed during April. We asked three staff when they last had supervision and what it was about, two were able to say approximately when they last had a formal supervision meeting and what they discussed. No one knew when their next supervision session was due. We asked to see a sample of maintenance certificates held in the home. The acting manager was not able to show us an up to date electrical wiring certificate which should have been available at the home. What the care home does well: What they could do better: Ensure that staff are fully aware of how matters of dignity and respect should be managed in a communal setting. Monitor and maintain staffing levels in the home to ensure that sufficient numbers of staff Care Homes for Older People Page 5 of 9 are available at all times. Ensure that staff know when they are due to have a formal supervision session and produce an annual plan for staff supervision. Ensure that the home has an up to date electrical wiring certificate. This is what service users and their relatives thought the home could do better. More staff to change those who are doubly incontinent. Have a staff member take a few minutes on a half hour interval checking residents are safe. And Toilets being checked. I have found on several occasions to be dirty. Basic cleaning of table in rooms. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 38 23 An up to date electrical wiring certificate must be available for inspection. 30/06/2010 This will show that the electrics in the home have been regularly maintained and tested and comply with the Electricity at Work Regulations 1989. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 2 3 4 10 27 36 36 Staff should be fully aware of how matters of dignity and respect should be managed in a communal setting. Monitor and maintain staffing levels in the home to ensure that sufficient numbers of staff are available at all times. Staff should know when they are due to have a formal supervision session. There should be an annual plan for staff supervision. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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