Care Home: Beanlands

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What the care home does well The home is well managed and people that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. The home has an open door policy and encourage people to tell them what they think about the service. There are regular meeting arranged for people living at the home and quality assurance survey questionnaires audits reflect the very positive view that people and families have of the home. The home has established close working relationships with other health care professionals to make sure people`s health care needs are met and they have access to the full range of NHS services. The manager has a great rapport with people living at the home and a good knowledge of their individual needs. One person said, "Nothing is any trouble for her, she is great". Staff comments included, "She is approachable and part of the team" and "She is very supportive". There is a warm and welcoming atmosphere in the home. Staff and people living in the home have good relationships; lots of positive interactions were noted and time was spent sitting and chatting. One person said, "Everyone is so happy here it is a very good home". A visitor to the home said, "I always recommend this home to anyone looking for a care home". A relative said, "Staff are very friendly and cheerful and obviously love the work they do" and "People look very well cared for". There is a varied and interesting activity programme which people are involved in. People spoke highly of the activities and comments included, There is always plenty to do if you want to", "We have outside visitors who come along to get us involved in things" and "There is no pressure to attend if you don`t want to". What has improved since the last inspection? Some double rooms are being used as singles because that is what prospective people to the service have been asking for. Improve flexibility around meal times, people are now asked by the chefs whether they would prefer to have the main meal of the day in the evening. This is in addition to the frequent menu reviews which take place. Because of a few negative comments about language difficulties with some of the staff, the Human Resources Manager has produced a policy about the use of English while at work. When interviewing staff, they are making sure that people who will be working directly with people have an adequate grasp of the language. They have provided stacking chairs for visitors in response to comments about lack of seating in the bedrooms on the first floor, these can be moved easily when required. What the care home could do better: The manager should ensure when enquiries are made about the service they are all followed up and any action recorded. This would ensure no one is over looked. The home should try get more information about people to get a clear indication about the level of care or support required. This would ensure all their needs are met. Nutritional assessments should be carried out on all people entering the home. The starting point should be people having their weight checked on admission to the home. Key inspection report Care homes for older people Name: Address: Beanlands Colne Road Glusburn Keighley W Yorkshire BD20 8PL     The quality rating for this care home is:   three star excellent 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: Frederick Rawlins     Date: 0 4 0 2 2 0 1 0 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 26 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 26 Information about the care home Name of care home: Address: Beanlands Colne Road Glusburn Keighley W Yorkshire BD20 8PL 01535633312 01535631551 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Beanlands Name of registered manager (if applicable) Type of registration: Number of places registered: care home 45 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 45 The registered person may provide the following category of service user only: Care Home with Nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP Service users with a Physical Disability - Code PD (maximum number of places: 1). Service users with Dementia Code DE (maximum number of places 1). Date of last inspection 0 0 0 Over 65 1 45 1 Care Homes for Older People Page 4 of 26 Brief description of the care home Beanlands Nursing Home provides nursing care to forty five ladies and gentlemen over the age of sixty-five. They are able to meet the caring needs of older people with physical disabilities, terminal illness and those requiring respite or convalescence care. Beanlands Nursing Home has been established since 1974. The proprietor Mr Konrad Czajka purchased the home in 2003, as part of the Czajka Care Group. Facilities are: 24 hour qualified nursing care, Accommodation in single or twin rooms, Individual nurse call in every room, Choice of high quality home cooked menu including special diets, 24 hour laundry service, Physiotherapy, Chiropody, Hairdresser, Passenger lift, A wide range of social activities. The fees for the service currently range from 600 to 700 pounds per week. Details of the exact charges can be obtained by contacting the manager. Care Homes for Older People Page 5 of 26 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: three star excellent 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 inspection process included looking at information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out between 09:00 and 18:00 hrs. The purpose of the visit was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people using the service. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visit. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. During the visit a number of documents were looked at and areas of the home were visited. A good proportion of time was spent talking with people who live at the home as well as their relatives and visitors.The managers and staff were also spoken with. Care Homes for Older People Page 6 of 26 We have reviewed our practice when making requirements, to improve national consistency. If a requirement is repeated, it is likely that enforcement action will be taken. Feedback was given to the managers at the end of the visit. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? What they could do better: The manager should ensure when enquiries are made about the service they are all Care Homes for Older People Page 8 of 26 followed up and any action recorded. This would ensure no one is over looked. The home should try get more information about people to get a clear indication about the level of care or support required. This would ensure all their needs are met. Nutritional assessments should be carried out on all people entering the home. The starting point should be people having their weight checked on admission to the home. 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 9 of 26 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 10 of 26 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. Peoples needs are properly assessed before admission, making sure their needs can be met. Evidence: The information about the service is good and gives people the opportunity to decide whether or not the home can meet their needs. Records show that peoples needs are assessed before they move in to Beanlands Nursing Home either in their own home or temporary place of residence. We looked at the pre-admission assessment information for six people and found that in some instances it only provided basic information and did not always give a clear indication about the level of care or support required. However, the manager and area manager is aware of this and is working on making sure the format used is completed, which will provide more detailed information. They also agreed that when enquiries are made about the service they are all followed up and any action recorded. Care Homes for Older People Page 11 of 26 Evidence: People are always invited to visit the home before admission and are also ale to move in for a trial period if they are still undecided about accepting a permanent place. People considering moving in to the home are always supported through the admission process and once admitted care is taken to make sure that they are happy and content in their new environment. Care Homes for Older People Page 12 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The care plans provide clear instructions for staff to follow making sure that health and personal needs are met. The people at the home are treated with respect and dignity. Evidence: Care plans are based on a pre admission assessment carried out by the manager and information from other professionals. There was some evidence to show that wherever possible people are involved in the care planning process, which means that they are consulted about how they want their care and supported to be provided. The care plans we reviewed were completed to a good standard. It gives staff the information they need to provide people with quality care. Everyone living at the home is registered with a General Practitioner and are supported in having access to the full range of NHS services. The input of other health Care Homes for Older People Page 13 of 26 Evidence: care professionals is clearly recorded in the documentation available, which shows that staff are seeking advice if they have concerns about individuals health. People confirmed that they were happy with the care and support they received and that staff always treated them with kindness and respect. Comments included: All staff are very kind and look after all of us very well. I am happy that my mum is here. The staff know how she reacts to things. The staff do their jobs very well to say they are always in demand. Im pleased with the care given here. We reviewed the medication system in place and found that overall medicines are managed safely. Minor discrepancies in the way medication was being recorded were discussed with the manager and immediate action was taken to resolve the matter. People living at the home can therefore be confident that medication is being administered as prescribed. Care Homes for Older People Page 14 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home responds to individual needs and choices and encourages people to exercise control over their daily lives. Evidence: On the day of the visit the atmosphere within the home was very calm and relaxed and staff were observed to interact well with the people in their care. Staff confirmed that the daily routines of the home are flexible and people are encouraged to be as independent as possible and consulted about how they want to spend their time. There is an activities programme that includes visiting musicians, crafts, reminiscence and various others, these are provided both by outside professionals as well as the home own staff. Where possible people go out for walks to the local shops and a good number go out with relatives on a regular basis. People said that they enjoyed the activities arranged for them and confirmed that special occasions throughout the year including birthdays and anniversaries are always celebrated with a party or entertainment. The home publishes a list, which highlights Care Homes for Older People Page 15 of 26 Evidence: forthcoming events/planned activities. In the conversations people clearly expressed that they follow their preferred ways of living, such as getting up times, going to bed, whether to spend time alone or with others, what activities to join in and what to wear. People looked well cared for and were happy with the arrangement for hair and foot care. During the visit we observed the lunchtime meal being served in the dining rooms. The tables were nicely set and people were given the time they required to eat their meal in comfort without being hurried. One person said As you can see the food is very good and theres plenty of it. However nutritional assessments should be carried out on all people entering the home. The starting point should be people having their weight checked on admission to the home. Care Homes for Older People Page 16 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live at the home feel confident that they will be listened to and that appropriate action will be taken when necessary. There are safeguarding procedures which staff have awareness of and understand and people can be assured that they can feel safe at the home. Evidence: It was clear from the conversations with people living in the home that they feel that all the staff are very approachable. People said that any requests were always listened to and they feel safe and well treated. Policies are in place aimed to set out how the home protects people and prevents harm or abuse and this includes a whistle blowing policy. The manager was aware of the need to report any suspected or alleged abuse to the local safeguarding team. Feedback from staff indicates that they are aware of the homes policy on whistle blowing and knew what to do if they suspected that people were being abused or working practices at the home were not in the best interest of the people living there. Care Homes for Older People Page 17 of 26 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home continues to provide people with a pleasant, safe and comfortable environment in which to live. Evidence: The home is situated in the Craven area, with ample car parking for visitors. The extensive garden offer a water feature and provide seating in a patio area. There is also a large centrally heated, double glazed conservatory which is very popular with the people living there. Feedback from people living at the and their relatives shows that they are very pleased with the standards of accommodation. Comments included the home is always kept spotlessly clean and tidy and both the bedrooms and communal rooms are nicely decorated. People have their personal washing collected from their rooms on a daily basis and washed separately and returned to them by the laundry staff. The home have robust policies and procedures that help to manage any infection control issues within the home. The home has notified us of any incidences of infections. These have always been managed appropriately and the relevant health professionals have been involved at the time. This has helped to reduce further spread Care Homes for Older People Page 18 of 26 Evidence: of infection. The home has good supplies of specialist beds, hoists and pressure relieving cushions. It is apparent when talking to the management and registered provider that they take pride in providing people with a high standard of accommodation. No obvious health and safety hazards were noted and the home was clean, tidy and free from unpleasant odours. Care Homes for Older People Page 19 of 26 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. There are sufficient staff employed to make sure peoples needs are met and staff are supported in developing the skills and knowledge they need to care for people properly. Evidence: The home has a thorough staff recruitment and selection procedure, which includes obtaining at least two written references and a Criminal record Bureau (CRB) before new staff start work. This makes sure only people suitable to work in the caring profession are employed. We reviewed the recruitment files and found that the recruitment policy was being followed. The home has a stable staff team and a low staff turnover, which helps to make sure people receive continuity of care. The manager confirmed that all new staff receive induction training in line with the Skills for Care Common Induction Standards. These are nationally agreed induction standards designed to help new staff get the skills and knowledge they need to care for people. Following induction there is an expectation that staff will study for a National Vocational Qualification (NVQ) at level two or above depending on the post they hold. Currently over 50 of care staff have achieved a NVQ at level two or above. Care Homes for Older People Page 20 of 26 Evidence: Feedback from staff indicates that they are generally pleased with the level and standards of training provided and are encouraged to take up training opportunities. Care Homes for Older People Page 21 of 26 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 management structure in place makes sure the home is well managed and run in the best interest of the people living there. Evidence: The manager was appointed in January 2008. She has many years experience in the caring profession and has achieved the Registered Managers Award (RMA). Both the registered provider and manager have a positive attitude to the inspection process and have shown a willingness to work with us to maintain and improve standards at the home. The manager confirmed that she is well supported by the provider and there are clear lines of accountability, which makes sure the home is managed affectively and in the best interest of the people living there. To make sure that there are clear lines of communication within the home regular staff meetings are held and the manager operates an open policy so that people are able to approach her at any time if they have a problem or concerns. Formal one -toCare Homes for Older People Page 22 of 26 Evidence: one staff supervision also takes place, which gives staff the opportunity to discuss their training and personal development needs. However this has lapsed a little, and the manager has agreed to resolve the matter. Care Homes for Older People Page 23 of 26 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 24 of 26 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 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 1 The manager should ensure when enquiries are made about the service they are all followed up and any action recorded. This would ensure no one is over looked. The home should try get more information about people to get a clear indication about the level of care or support required. This would ensure all their needs are met. Nutritional assessments should be carried out on all people entering the home. The starting point should be people having their weight checked on admission to the home. 2 3 3 15 Care Homes for Older People Page 25 of 26 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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