Care Home: Beaumaris Care Home

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What the care home does well The manager and her staff like to find out what people living in the home like to do and try to make sure that they can do it. They find out what they like to eat and try to make sure that is what they get. The staff are cheerful friendly and helpful and encourage people to enjoy themselves but also try to make sure that they are safe and well looked after. People are happy with their care and comments include: `the staff assist me and ask how I like things done`. If someone is ill they make sure that they get the right treatment. If someone doesn`t like something they can complain to the manager. The home is clean and well decorated. What has improved since the last inspection? The laundry room has been upgraded to provide a better service. Two new wet rooms are in use. Recruitment and retention of staff is better so that the staff team is more stable. What the care home could do better: The manager should ensure that the person centred care that is delivered is recorded better within the plans. The service has measures in place to recognise its own weaknesses as they emerge and manage them well. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beaumaris Care Home Beaumaris Road Newport Shropshire TF10 7BL     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Pat Scott     Date: 2 8 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 Commission for Social Care Inspection aims to: · · · · Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Beaumaris Care Home Beaumaris Road Newport Shropshire TF10 7BL 01952814777 01952814688 jbristow@ldcg.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: LDCG Limited care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: Date of last inspection Brief description of the care home Beaumaris Court is registered to provide nursing care for a maximum of 30, 22 being older people and 8 younger persons with a physical disability. The home is situated close to the centre of the Shropshire town of Newport and because of its location is easily accessible by visitors as well as enabling service users easy access to local facilities This is a purpose built home which provides bedrooms for service users on two floors and these can be accessed via a shaft lift. All of the bedrooms are singles with en-suite bathrooms. The current fees range from £575 to £729 a week. The latest inspection report is on display in the foyer. 0 8 Over 65 22 0 Care Homes for Older People Page 4 of 21 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: We, the commission, looked at all the information that we have received, or asked for, since the last key inspection or annual service review. 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 using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Care Homes for Older People Page 5 of 21 Relevant information from other organisations. What other people have told us about the service. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 21 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 8 of 21 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. New people are provided with information so that they know what to expect of the home. Pre admission assessments are conducted so that people will only come into the home if staff have the confidence that their skills and abilities can meet the outcomes of these assessments. Evidence: The service provides people with information so that they know what type of care the home provides and the facilities and services it offers. The management state that this information could be presented in a better way by using alternative formats such as large print, an information DVD and Braille. The manager assesses people before they come to live at the home so that they can be sure that their staffs skills and experience is appropriate to meet their needs. People being admitted through social services funding arrangements have an Care Homes for Older People Page 9 of 21 Evidence: assessment of need carried out by the placing officer. The manager obtains this information and that of other health professionals prior to admission. Once admitted, people are allocated a member of staff called a key worker, to help them understand how the home is organised and feel comfortable in their surroundings. Care Homes for Older People Page 10 of 21 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. People receive care as planned so that they are assisted to be well as they can be. The service is starting to be more person centred in the recording of care delivered so that what they do is consistent with the persons written preferences and wishes. Medication systems are reviewed regularly by the manager so that people receive their drugs safely and when they need them. Evidence: All people using the service have a care plan. Four of these were seen in detail, the care plan element being in electronic format and the risk assessment element being as hard paper copy on file. They are written in a way that reflects the needs of the person in good detail. They have an evaluation of care which is signed. Risk assessments are up to date and they can be understood. Some elements of recording were more person centred than others. Evaluations did not always describe how the care delivered had impacted on the outcomes achieved and were too brief to guage whether the plan of care is meeting the needs successfully. The manager conducts a general review and records this which is a more detailed evaluation. Care Homes for Older People Page 11 of 21 Evidence: The service audits the medication to ensure that staff are complying with the procedures of the home. Medication problems are addressed within the care plans and the effect of medication therapy is monitored. Staff spoken to state that they feel they provide a good standard of care and that they enjoy their work. The organisation provide good training opportunities and staff feel they are well equipped to care for the people living at the home. A person spoken with stated that the staff care for him well and he has settled in comfortably. Care Homes for Older People Page 12 of 21 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. People are provided with social activity and can keep in contact with family and friends. Social, cultural and recreational activities meet peoples expectations through assessment, consultation and choice. Residents receive a healthy diet according to their assessed requirement and preference. Evidence: People are enabled to carry out their social life and maintain links with family and friends. People are asked what they would like to participate in and particular interests are recorded in the care plans. The service holds resident meetings which are minuted and a diary of events is on display on the notice board. Although not very clear it does given an indication of when the activity person is in the home and what is happening that day. People spoken with state they are looking forward to more trips out when the weather improves and enjoyed the Christmas trips. A choice of food is offered on most days. People say they like what they eat. A person receives her nutrition via a special feeding regime and has all the information clearly recorded which includes consultation with a dietician. Care Homes for Older People Page 13 of 21 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 has a complaint procedure which is accessible so that people who use the service have information of how to make complaints about the home. Training is provided so that service users are protected from abuse and have their legal rights protected. Evidence: People spoken to say that they would go to the manager or one of the staff if they had a problem. All expressed confidence that issues would be dealt with. Records show that three concerns spoken about by residents had been promptly dealt with and a satisfied outcome reached. Staff spoken with understand how to deal with complaints from people and are also clear when information needs referring through safeguarding processes. Three Adult Protection referrals have been dealt with and resolved. Care Homes for Older People Page 14 of 21 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 physical design and layout of the home has improved, through resident choice, so that they live in a safer, better-maintained and comfortable environment, which encourages independence. Evidence: The manager spoke of the refurbishment improvement plan which is to be achieved. All areas seen around the home are clean and rooms personalised and decorated according to the wishes of those people occupying them. This has been welcomed by those living at the home and many favourable comments were made about the decoration. They state that the home is always spotlessly clean. The service has a plan to upgrade the corridors and communal areas over the next 12 months. The laundry has been refurbished. The home has two new wet rooms. Care Homes for Older People Page 15 of 21 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. Staff in the home are trained and are in sufficient numbers to fill the aims of the home and meet the changing needs of residents. Evidence: Staffing rotas are in place in the office. NVQ training is provided and the minimum ratio of 50 trained staff being at level 2 has been met. Staff files kept in the home evidence the induction process provided for new starters. Initial training such as infection control, manual handling, first aid and medication are provided. After induction, candidates are assessed for suitability to move onto NVQ training. The residents know the staff well and observation showed that they provide a personal but professional service. Staff spoken with feel that the training is good and it enables them to fulfill their role to their best ability and care for people well. They were complimentary about the level of support they receive from the organisation and their manager. Care Homes for Older People Page 16 of 21 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. Peoples opinions are central to how the home develops and reviews its practice, and the service is developing appropriate ways of making sure they get things right. So, people have confidence in the care home because it is run and managed well. Evidence: The serviced is managed by an experienced competent person. Through discussion she shows she understands the importance of recording person centred care to show how they achieve improved outcomes for people living at Beaumaris Court. It is her stated intention to pursue this so that all staff are consistent in their records as required by their professional registration. The manager seeks the views of people and provides forums for them to air their views such as resident meetings, care plan reviews, satisfaction surveys and individual resident communication books. These methods allow people to have their say openly or anonymously and all comments are taken seriously and acted upon. People we spoke with felt that the communication in the home is good and they feel involved in Care Homes for Older People Page 17 of 21 Evidence: their care. The AQAA, although brief, identified where the provider suggests they could do better. The manager has an action plan to address these areas. Record keeping systems are good. All records seen are written in a way that shows the service listens to the people who use it. What people say is heard, acted upon and reviewed and elements of the AQAA were seen to be in place. e.g. staff training and refurbished areas of the home. Risk assessments for the management and safe working practices in the home are in place. Care Homes for Older People Page 18 of 21 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 19 of 21 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 Care Homes for Older People Page 20 of 21 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 21 of 21 - 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!