Care Home: Beamish Residential Care Home Ltd

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What the care home does well The home has a traditional look and provides a homely environment. The home is well maintained and decorated. Rooms reflect the personality of the occupants and have many personal items in them. It has accessible gardens and grounds and it is in a pleasant rural setting. Visiting is flexible and visits from friends and family help service users stay in contact with the locality. The manager and staff get on well with service users and they are approachable. Service users said, "Staff are very approachable and very helpful," and "They are marvellous, a lot of good lasses." Service users feel they are cared for. Comments such as, "I get lovely meals and lovely baths" and "We could not get any better" were typical of those made during the site visit. The home has the proper equipment to look after service users and the owner has a record of providing whatever is needed. The home is very clean, light, warm and well ventilated. The kitchen is clean and well stocked with food. Menus provide traditional food and service users enjoy their meals. What has improved since the last inspection? Care planning has improved and is set out with more specific goals. Handrails and ramps have been provided to improve access. Training has been given in the area of adult protection. Recruitment and selection processes are well recorded and all necessary checks are carried out. What the care home could do better: Staff should receive regular fire training and be kept up to date in this. Training would be better recorded in a matrix or grid form to ensure staff`s training needs are easily seen. The sluice equipment in the home is dated and a more efficient and safe system should be considered. Key inspection report Care homes for older people Name: Address: Beamish Residential Care Home Ltd Old Vicarage West Pelton Stanley Durham DH9 6RT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Tom Moody     Date: 0 4 1 1 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 22 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Beamish Residential Care Home Ltd Old Vicarage West Pelton Stanley Durham DH9 6RT 01913701763 01913701763 Noe-mail Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Beamish Residential Care Home Limited care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Beamish Residential Care Home is on the outskirts of West Pelton, next to the church and close to local shops and other village amenities. The bus stop is a five-minute walk away from the home. The home, which was previously the vicarage, has been extended and modernised to provide accommodation for 21 older people. Bedrooms are located on both the ground and first floor. There are 17 single bedrooms and two double rooms. None of the bedrooms have en-suite facilities. There is a stair lift to the first floor. Nursing care is not provided. Copies of the Care QualityCommission (CQC) reports can be seen in the home. There is also a service user guide that gives information to help people decide if the home can meet their needs. The home charges one rate of £404.17p. 1 8 0 2 2 0 0 9 0 Over 65 21 Care Homes for Older People Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two star. This means the people who use this service experience good quality outcomes. Before the visit We looked at; information we have received since the last visit on 18 February 2009, how the service has dealt with any complaints since the last visit any changes to how the home is run the providers view of how well they care for people The Visit An unannounced visit was made on 4 November 2009 During the visit we talked with people who use the service, relatives, staff, the manager and visitors. We saw residents having a meal and looked at how staff support the people who live here. We looked at information about the people who use the service and how well their needs are met We looked at other records which must be kept. We checked that staff had the knowledge, skills and training to meet the needs of Care Homes for Older People Page 5 of 22 the people they care for. lWe ooked around parts of the building to make sure it was clean, safe and comfortable. We checked what improvements had been made since the last visit We told the manager what we found. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Care Homes for Older People Page 6 of 22 What the care home does well: What has improved since the last inspection? Care planning has improved and is set out with more specific goals. Handrails and ramps have been provided to improve access. Training has been given in the area of adult protection. Recruitment and selection processes are well recorded and all necessary checks are carried out. Care Homes for Older People Page 7 of 22 What they could do better: 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users needs are accurately assessed and the home can meet those needs Service users have information they need to make choices and a service users guide is available containing all the necessary information. Service users can make a trial visit and are able to make an informed Decision. Evidence: The manager said that they offer visits to people who have been referred to the home prior to them being offered a place. Service users are assessed by placing authorities and this assessment is in the care plans. The home has their pre admission process. A copy of the statement of purpose and the service users guide were available and they were in the bedrooms that were occupied. Visitors and relatives said they got good information from the home and they were kept up to date by the manager. Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a care plan, which explains how their care they will be given and peoples health care needs are met. The homes policies and procedures for dealing with medication protect service users. Service users feel that they are treated with respect by the staff Evidence: There is an assessment of service users physical, mental, spiritual and social needs in their care plans. The home has improved these since the last inspection and they are working hard to try to maintian this improvement. Records in the care plan indicate service users have access to health services such as hospital specialists, doctors, dentists and other practitioners. Clear medication records are kept.Staff were seen giving out medicines and this was done correctly and safely. Medicines are stored safely in appropriate cabinets. It was evident from looking at staff care practice, and their interactions with service users, that they knew about preserving their dignity and privacy. For example, staff used the service users preferred name, they spoke to service users respectfully. Care Homes for Older People Page 11 of 22 Evidence: Service users spoke well of the staff. Comments such as, They are marvellous, a good lot of lasses, were typical of those made by service users. Staff always knocked before entering bedroom doors to preserve the privacy of service users. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes provision matches service users recreational, social and cultural needs, and helps them maintain contact with the surrounding community. They are able to exercise choice and control over most aspects of their lives and they enjoy nutritious and appetising food. Evidence: Service users rooms reflect their choices, lifestyles and interest and are very individual to that person. most rooms have books, radios, TV, photographs and other items of personal entertainment. Visitors were seen coming into the home throughout the day and visiting times are not restricted. A number of service users commented that they came from the area and friends and family were able to visit them easily. Menus show that service users have a choice of hot meals. Staff confirm this and kitchen staff said other choices could be accommodated. The cook is experienced and the kitchen is well equipped and clean. It is stocked with a good variety of foodstuffs and ingredients. The meal that was seen was appetising and of a traditional type, appropriate to the age and experience of the service users. Service users were supported by staff when they needed help to eat. Care Homes for Older People Page 13 of 22 Evidence: Service users told me they enjoyed the food and that the portions were ample. One person said, I get lovely meals. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service users and relatives know how to raise issues and they are confident staff and managers will act on their concerns. Training and procedures ensure service users are protected and that their rights are upheld. Evidence: Relatives and service users said they would be happy to approach the manager or staff if they had any concerns. Service users said, Staff are very approachable, and Ive no complaints but if anythings not quite right I tell the staff and they put it right. The manager said that the homes complaints procedure is accessible to the people who live at the home and their relatives. A copy of it was on the wall in the hallway and there is a copy in the service users guide. Complaints are recorded but there are few of these. Staff said they had recieved training in Protecting Vulnerable Adults (POVA) and they had a good awareness of these issues. This was confirmed by training records and guidelines, published by the local authority, were available in the home. Recruitment records indicate all pre employment checks are carried out including Criminal Records Bureau, POVA list and previous employers references. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a safe and comfortable environment with access to all areas. The home is very well equipped in most respects, and well furnished. It is spacious, clean and meets the service users needs Evidence: The home is converted building of some age and character. however, it is well adapted for its current use. It provides a safe, comfortable environment. The home is very clean and well maintained and there were no unpleasant odours detectable at any time during the site visit. Appropriate laundry, kitchen and domestic cleaning facilities are available. The sluice is of an old design and may need updating. The home has pleasant gardens and now has handrails and ramps to improve access.The home has very pleasant communal space with wide corridors and ample lounge space. The decor is traditional and provides a homely atmosphere. The home is warm light and airy and is kept well decorated. Showers toilets and bathrooms are of appropriate size, fitted with rails and some have hoists. The home has a stair lift to the first floor and it has a suitable call system. specialist beds have been provided for service users who need them. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The staffing of the home meets service users needs. They are supported in a safe manner, by staff who are properly recruited, and have the appropriate training. Evidence: Staff rotas were seen and there were a suitable amount of staff on duty at the time of the site visit. Service users needs were met, call buzzers were answered within a reasonable time and care was given in an unhurried manner. Staff said they received an induction, and training, and records tended to confirmed this. Unfortunately the records of training were kept in several different forms and in differing places. This made it hard to keep track of staffs needs. Most staff had not had formal fire training for some time although fire drills were carried out. It is recommended that training is recorded on a matrix that will help the manager keep track of staffs training needs. Staff records indicate all pre employment checks are carried out including Criminal Records Bureau, Protection Of Vulnerable Adults list and previous employer references. Records also show that staff are interviewed and they receive terms and conditions. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed by an experienced, and qualified person who has service users interests at heart. The home is run in the best interests of service users. They are kept safe and their welfare and rights are protected by good record keeping and the promotion of good practise Evidence: The Registered Manager is experienced and is suitably qualified. She is ably supported by an experienced Deputy. Discussions with the manager reveal they were knowledgeable about the client group and well motivated. Staff said they felt well supported and one said they received Loads of training. Relatives were equally positive and said they would be happy to approach the manager if they had problems. The homes self-assessment says that the manager has an independent assessment of the homes performance on a monthly basis. Records of this were seen and the manager says this is acted upon to improve the service. Care Homes for Older People Page 18 of 22 Evidence: The requirements of the last report have been addressed in almost every respect and the manager says she always complies with the registering authority. Maintenance records are kept water and room temperatures are recorded. Fire alarm tests and portable appliance tests are carried out. This was confirmed by the maintenance man. The home use quality assurance questionnaires and the comments from relatives and visiting professionals are all very positive. The home has proper insurance and the certificate is displayed. Care Homes for Older People Page 19 of 22 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 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, Care Homes 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 30 23 The provider must make arrangements for persons working at the care home to receive suitable training in fire prevention. To ensure service users and other occupants of the home are kept safe, regular fire training should be given to the staff. 31/12/2009 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 26 30 The sluice room is rather dated and an updated disposal facility should be considered. It is recommended that staff training be recorded on a matrix type grid to help to clarify if staff have received the appropriate training. Care Homes for Older People Page 21 of 22 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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