Care Home: Beaufort House

Similar services:

• 22 Sandown Road
• The Highlands
• Dilston College Of Further Education
• West View House
• Prince Bishop Court
• Park View (15)
• Craigmore House
• 1 Lanark Close

What the care home does well Beaufort House provides a homely and friendly place for people to live. Staff interviewed clearly enjoyed working at the home. They know the people who use the service well and are committed to providing the best care that they can. The staff work together as a team and are well supported by the manager. Good interaction was observed between the staff and people living at the home. What has improved since the last inspection? Since the previous inspection some refurbishment and redecoration has been carried out. There was new dining room furniture in place and the kitchen had been fully refurbished. The carpet in the lounge had been replaced and a computer had been provided for people to use. What the care home could do better: The provider should consider employing domestic staff, to allow care staff more time to spend supporting people who use the service. The quality assurance system should be developed further to include relatives and other professionals. The provider should produce a report showing the results of the information gathered and show areas which are positive and also where improvement is required and share it with the people who use the service, relatives, other professionals and the Care Quality Commission. Key inspection report Care homes for adults (18-65 years) Name: Address: Beaufort House Beaufort House 2 St Vincent Terrace Redcar TS10 1QL     The quality rating for this care home is:   one star adequate 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: Valerie Daly     Date: 2 2 1 0 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 Adults (18-65 years) Page 2 of 25 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 Adults (18-65 years) 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 Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Beaufort House Beaufort House 2 St Vincent Terrace Redcar TS10 1QL 01642481114 01642481114 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Potensial Limited care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD, maximum number of places 8 Date of last inspection Brief description of the care home Beaufort House provides a home for seven people in a large, but homely, double fronted terraced house, which blends into a street with similar properties.It is close to shops and other community services and facilities in Redcar and near bus routes. Each person has their own large bedroom. There is a pleasant, comfortable living room and dining room downstairs and a garden area at the front of the house and a sheltered private courtyard at the back. The home has plenty of bathrooms with equipment for people who need assistance to use them. There is a large bedroom on the ground floor, which has enough space for someone who uses a wheel chair to move around in. But the entrance to the home is Care Homes for Adults (18-65 years) Page 4 of 25 Over 65 0 8 1 5 1 0 2 0 0 8 Brief description of the care home up wide, shallow steps and so someone who uses a wheelchair would need a portable ramp to get in and out. Care Homes for Adults (18-65 years) Page 5 of 25 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: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is one star. This means people who use this service experience adequate quality outcomes. This Key Inspection was to check that the home meets the standards that the Care Quality Commission say are the most important for the people who use the service, and that it does what the Care Standards regulations say it must. The inspection was conducted by a regulatory inspector in one inspection day. During the inspection a number of records were looked at, including records of people who use the service, along with staff recruitment and training records and maintenance. There was also discussion with the manager and care staff who work at Beaufort House Care Homes for Adults (18-65 years) Page 6 of 25 The manager had completed the Annual Quality Assurance Assessment (AQAA), the services self-assessment of how well they think they are meeting the standards. We have reviewed our practice when making requirements to improve national consistency. Some regulations from previous reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at risk or harm. In future if a requirement is repeated it is likely that enforcement action will be taken. Care Homes for Adults (18-65 years) Page 7 of 25 What the care home does well: What has improved since the last inspection? 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 Adults (18-65 years) Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 25 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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. People who use the service have their needs assessed prior to admission. Evidence: Since the previous inspection the service user guide had been reviewed and was up to date. Although there had not been any new people admitted to the home, assessment documentation was in place in the three care files examined. Care Homes for Adults (18-65 years) Page 10 of 25 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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. People living at Beaufort House have care records which gives staff the information needed to show how their needs are to met and how they are to be supported and are able to make decisions Evidence: People who use the service have individual care records in place, which include a full assessment of need, supporting risk assessments and management. There was evidence to show that the risk assessments were updated six monthly. In the two files examined, a number of care plans were in place where a need had been identified. The care plans were very comprehensive and detailed the way in which the person preferred to have their care given. Areas assessed included Emotional/Social/Psychological relationships, Dressing/Clothes likes dislikes, Communication, Work/Training, Medication, Education, Living/self help skills and living arrangements, Eating/Drinking including likes and dislikes and allergies. Bathing/Personal hygiene. Care plans are reviewed and updated regularly. Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: The provider is currently considering plans to develop this service in way that will give the people who live there more independence, more rights and more opportunities for greater choice and control in their lives. These plans could mean important changes to the service and to the way that individuals claim benefits and pay for their accommodation, food and the support they receive. The provider should work with peoples care managers and representatives to ensure that each person has independent advocacy and advice. This will enable people to make informed decisions when they are consulted about these important issues that may affect them. Care Homes for Adults (18-65 years) Page 12 of 25 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People at the home are supported by staff, while maintaining links with their families and friends. They are able to make choices about their lifestyle. However this can be limited some times due to lack of staff. Evidence: People who use the service have their own weekly activities programmes. They are encouraged by the staff to try many different activities. Five people are in a Theatre Group where they take part in shows and perform for older people in care homes. One person attends Grangetown Youth and Community Centre which he enjoys very much. However food offered at lunchtime sometimes is in conflict as to what he needs for his diet Staff from the home try to liaise with the Centre to monitor his food intake. People who use the service enjoy bowling, the cinema and some go to the Gateway Club regularly. Contact between friends and family is encouraged and welcomed. Some people go out to visit and other relatives come to the home. Each person has a Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: home day when personal washing is sorted and bedroom tidied. They also choose how to spend the rest of the day and during the inspection one person went out shopping with a member of staff. There is a restriction in the choice of activities in the evening as there is only one member of staff after 9pm during the week and after 6pm on Saturdays. Therefore if people require help to go to bed they have to be home by 8.30pm when there are 2 staff to assist. The manager said she asks staff to work extra hours to cover if people are staying out later. The manager and another member of staff had recently taken five people who use the service for a weeks holiday in Majorca. There had been lots of activities and entertainment on site and the holiday was thoroughly enjoyed. The menus showed that a variety of food is offered such as scampi, spaghetti bolognaise, quiche, macaroni cheese. Meals are chosen at the weekly meetings and everyone has a say. Some people like to help in the kitchen, mixing yorkshire puddings, cakes, washing up. Care Homes for Adults (18-65 years) Page 14 of 25 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. People have personal support when they need it so they can be as independent as possible. Medical healthcare needs are met, which ensures that people stay healthy. Evidence: The care plans looked showed that people were appropriately supported with personal and healthcare needs. Each person has their own General Practitioner and attends appointments with a member of staff or their relative if they wish. One person has regular appointments at the hospital and a relative likes to attend whenever possible. There was evidence in care files to show input from other health professional, such as Opticians, District Nurses. Some of the people who use the service had more complex health needs. Staff are required to carry out more health monitoring for these people. At night time this raises concerns as there is only one member of staff on a sleep over, on call for emergencies. The home has policies and procedures in place for the ordering, administration, storage and disposal of medication. Two of the people who use the service look after Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: their own medication. Assessments had been carried out to ensure they were able and risk assessments were also in place. There was also information in the medication file to inform people about the different medications, how they work and possible side effects. Care Homes for Adults (18-65 years) Page 16 of 25 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. People who use the service are able to express their concerns and have access to a robust complaints procedure. Evidence: The home has a complaints policy and procedure in place and an easy read version is included in the Service users guide. There had not been any complaints made to the home since the previous inspection. There is a policy and procedure for whistle blowing and safeguarding in place. Staff interviewed had received training in safeguarding and were ware of the procedure to follow in the case of suspected abuse. Care Homes for Adults (18-65 years) Page 17 of 25 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable environment. The addition of domestic staff would ensure care staff spent all of their time with the people who use the service. Evidence: A tour of the home was carried out. Since the previous inspection some refurbishment and redecoration had been carried out. There was new dining room furniture in place and the kitchen had been fully refurbished. There was a new carpet in the lounge and also a computer for people to use. Peoples bedrooms were personalised and individually decorated depending on their personal taste. They all appeared homely and comfortable. A shower room was unable to be used as it was very damp. The manager said the provider was aware of this and she was awaiting a decision regarding repairs and refurbishment. There was no access to the home for anyone who needs to use a wheelchair. A ramp should be in place at the front of the home. The home does not employ domestic staff. This means that care staff have to do Care Homes for Adults (18-65 years) Page 18 of 25 Evidence: cleaning and the laundry, which takes their time away from the people who use the service. Some of the people who use the service are able to help with personal laundry and tidying their rooms. Care Homes for Adults (18-65 years) Page 19 of 25 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 is a recruitment policy and procedure to protect the people who use the service. Evidence: The home has a recruitment policy and procedure in place. Two staff files examined showed that satisfactory checks had been carried out. Two written references were in place and a Criminal Bureau Records check had been carried out. Since the previous inspection training had been carried out in Health and Safety, COSHH, Infection Control, Moving and Handling, Diabetes, Fire Training, Safeguarding People and Epilepsy. A refresher course for Food Hygiene had been booked for later in the year. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is in the main well run, however additional systems should be developed to show that people views are sought so they know their views are valued and are used to improve the service. Evidence: The manager is competent and experienced and has managed the service for a number of years. At the time of the inspection the manager did not have suitable office space and was using part of a tiled utility room at the back of the house. However during the inspection the Area Manager called at the home for a managers meeting. During discussion she stated arrangements had been made for an empty bedroom upstairs to be used as an office. This would enable the manager to carry out staff supervisions, meetings and interviews in a more appropriate place. The duty rota was examined as part of the inspection. It showed that the manager does not have any supernumerary hours to complete administration work. For quality assurance, the manager said that there is a system in place. However this Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: is for the people who use the service and needs to be developed further to include relatives and other professionals. The provider should produce a report showing the results of the information gathered and show areas which are positive and also where improvement is required and share it with the people who use the service, relatives, other professionals and the Care Quality Commission. Regulation 26 visits are carried out. Whilst this had not been regularly happening in the past a new Area Manager was now in post and documentation was in place for the previous two months. The manager carries out her own audits mainly of care plans and medication checks. There was evidence to show that a meetings are held weekly for people who use the service. Meetings are well attended, everyone is asked how their week has been and what they have been doing. Activities and meals are also discussed. There are also monthly meeting for staff and minutes are available. A random selection of personal allowances were checked. The systems used for looking after peoples monies are good. Receipts are kept when any money is spent on behalf of the person. Monies are audited by two members of staff. Health and Safety policies are in place in the home. Staff training records were examined and there was evidence to show that training in health and safety had taken place. A selection of maintenance records were examined and they were found to be up to date. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 24 23 The provider must ensure that the assessment of the premises, access arrangements, facilities and equipment is up-dated. This is to ensure that the accommodation and facilities continue to meet the needs of the people who live in the home, and that everything that can be done to keep people safe and enhance their independence is done. 16/05/2009 Care Homes for Adults (18-65 years) Page 23 of 25 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 24 23 The provider must repair or refubish the shower room. This is to ensure people who use the service have a choice of facilities to use. 01/01/2010 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 30 The provider should consider employing domestic staff, to allow care staff more time to spend supporting people who use the service. The provider should review staffing levels and rota with regard to the personal and healthcare needs of the people who currently live in the home, taking into account their physical and personal needs. The provider should review the management time available. This is to ensure that the manager has enough time to carry out management tasks and administrative duties. 2 33 3 37 Care Homes for Adults (18-65 years) Page 24 of 25 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. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!