Latest Inspection
This is the latest available inspection report for this service, carried out on 27th April 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for Beaufort Hall Nursing Home.
Annual service review
Name of Service: Beaufort Hall Nursing Home The quality rating for this care home is: The rating was made on: two star good service 1 6 0 2 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Juanita Glass Date of this annual service review: 2 6 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: 28 & 30 Birnbeck Road Madeira Cove Weston Super Mare North Somerset BS23 2BT 01934620857 01934414426 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Boyack Enterprises Ltd Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: May accommodate up to 33 persons aged 65 years and over requiring nursing care May accommodate up to 6 persons aged 65 years and over with physical disabilities Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Beaufort Hall Nursing Home is registered for 33 elderly people aged 65 years or over. The home is on Weston-Super-Mare seafront and occupies a prominent position overlooking Marine Lake. The approach to the main entrance of the home is up a steep slope. Wheelchair access is available at the other end of the building. The home has 25
Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 0 33 6 1 6 0 2 2 0 0 9 rooms used as single occupancy and four double rooms. All rooms have en suite toilets. Beaufort Hall is a four-storey building and has a six-person passenger lift accessing all floors. The home has been suitably adapted for the current resident group with handrails in corridors and grab rails in toilet facilities. There is a large dining room on the ground floor and two spacious lounges on the first floor, each of which has a small dining area. The home has a nurse call bell system throughout. There is a Registered Nurse on duty at all times. The home is well maintained and comfortably furnished. It is close to local amenities and the town centre. Current fees can be obtained on request from the manager. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information we have received, or asked for, since the last key inspection, which was carried out on 16th February 2009. This included, The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people living at Beaufort Hall. It also provides some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest such as relatives, social workers and GPs. We received 4 surveys from residents living in the home, 4 from relatives and 2 from staff working there. Information we have about how the service has managed complaints. What Beaufort Hall have told us about things that have happened in the Service. We also looked at the last Key Inspection report. What has this told us about the service? Beaufort Hall sent us their Annual Quality Assurance Assessment (AQAA). When we requested it. It was very clear and gave us all the information we asked for. We looked at the information provided in the AQAA and our judgement is that Beaufort Hall continues to provide a good service and that they know what further improvements they need to make. We looked at the last Key Inspection report. At the last inspection, we said, Beaufort Hall continued to provide a homely, caring and supportive environment. Staff were dedicated to meeting the needs of people living in the home in a personal person centred way. This was evident in the way the care needs of the people living in the home was recorded. People spoken to said they were cared for by very caring and cheerful staff who found the time to chat as well as have a laugh. We also said the opinions of people living in Beaufort Hall were valued, as they could talk to the manager and staff at resident forum meetings. We were told in the AQAA that they had continued to look at ways of listening to peoples opinions and using them to underpinning the running of the home. They said that they carried out a Quality Assurance Survey in both April and October, which would be sent to both residents and their relatives. This would cover all aspects of care, the environment and support provided in the home. The results of the survey would then be collated to show which areas they could improve. As a result of listening to people they said they now held regular resident meetings and a weekly newsletter was being produced by residents containing their views, ideas and local news. They had encouraged residents and relatives to sign and agree their care plans, which were reviewed monthly by a Registered Nurse. They had also introduced a weekly exercise class and increased sessions with the Occupational Therapist. Annual Service Review Page 4 of 7 We also require registered services to recognise the Equality and Diversity needs of people within their home. They told us in their AQAA that to respect peoples Equality and Diversity they continued to have the relevant policies and procedures in place. They also told us that the Statement of Purpose and Service User Guide promoted Equality and Diversity, and that staff received further training following their induction. They also told us about other changes they have made in the home since the last inspection. They told us that they had produced a new brochure for prospective residents. They had also introduced a monthly audit and monitoring system for medication kept in the home. Breakfast routines had changed, which introduced an earlier start for those people who preferred to rise earlier in the morning. Other changes included an increase in their activity programme introducing more choices and exercise sessions. A redecoration and maintenance programme had been followed, including the total refurbishment of the kitchen. Staff training had included managing complaints and NVQs for catering and cleaning staff. Staff roles had been developed, such as a new director and new manager. They had also introduced a housekeeping manager. People living in the home indicated in their surveys that they were very happy with the care they were receiving. As well as indicating by the tick boxes that they were happy people also added statements at the end of the surveys. One person said, they provide excellent help with personal care, the staff are very caring. I am quite satisfied with the conditions in the home. Another person said, they give excellent care and support, they could provide a more varied menu, however the home is pleasant and comfortable. A further comment stated, good nursing care and helpful staff, could provide better facilities for calling for help in public rooms. Relative surveys also indicated that they were happy with the care being provided. One person said, staff are always pleasant and appear to be well trained. Any issues or concerns are dealt with appropriately. Whilst another said, the nursing service is excellent with health concerns being addressed. Management is efficient and staff are pleasant and helpful. Meal menus could be better planned with a greater variety. The two staff surveys indicated that they felt they received appropriate training and support from management. One person said the home provides good care, with friendly staff. Staff could however do with more time to sit and chat with residents. Whilst the other survey said, there are good trained staff, and staff are listened to if they have suggestions for improvements. Beaufort Hall continues to let us know about things that have happened since their last key inspection and they have shown that they have managed issues well. They work well with us and have shown is that their service continues to provide good outcomes for people living in their home. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 16th February 2012. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people living in the home. Stopped listening to me Annual Service Review Page 5 of 7 Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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