Care Home: Beaumont House

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What the care home does well The quality rating for the home improved at our last key inspection visit. Since that time six new people had moved into the home. The registered manager confirmed that people had settled in well. Because of the increase in numbers of people the upstairs lounge and dining room were now back in use. The registered manager carried out an assessment before agreement was reached for the person to move in and an assessment was also undertaken by a qualified social worker. Copies of these documents were seen on the two care files that we looked at. The home had changed the way that records were held. The registered manager informed us that it was planned to change to a computerised records system in August 2010. The care records that we looked at contained detailed care plans and risk assessments that had been reviewed regularly. Information about end of life wishes, mental capacity and lasting power of attorney, needed to be added to the care records. During this inspection visit the pharmacist inspector looked at how well medicines were handled to make sure that people were being given their medicines properly and that all medication could be accounted for. This was because at previous inspection visits medicines had not been handled safely, but at the last inspection we saw that there had been many improvements in medicines handling. This inspection visit was to make sure that medicines were still being handled safely and people`s health was still protected. During this visit we looked a sample of records about medication together with medicines currently available for those people. We found that the records about medicines had improved even further in almost all areas and that those records showed very clearly that people were given their medication as prescribed and medication was handled safely. At the last inspection visit we recommended that checks were made to show it was safe to keep creams in people`s bedrooms. During this inspection visit we saw that all creams were kept safely in the medication room. We also recommended that a cooling system was put in the medication room to ensure medication was stored at the correct temperatures. This had not been done, however a check of the temperatures had been recorded and all the records showed the temperature was just within acceptable limits, including on the day of inspection visit, which was very hot. We made a third recommendation which highlighted the need for staff to have clear information recorded about how to give medication to people when it was prescribed "when required". The manager assured us she would address this outstanding recommendation as soon as possible. We also highlighted the need for guidance for staff to give people medication which had been prescribed as a variable dose. We found thatthe information about the variable doses had been obtained and staff now had good guidance in this area. The improvements made in medicines handling seen at the last inspection had continued. People were given their medication as prescribed and all other areas of medicines handling were safe and medication can be accounted for. People`s health and welfare were protected. We spent time watching what went on around the home. People appeared well cared for. Interactions between people living at the home and the staff on duty were seen to be frequent and friendly. The atmosphere was very relaxed. We spoke with the new activities organiser who had worked at the home for a number of weeks. Both she and the registered manager had attended a "Therapeutic Activities in Dementia" course. They had found to be highly informative and had given them helpful ideas about ways to interact with people with dementia. They had started to put together memory boxes for example a box that contained different smells and they also had old fashioned sweets such as Fisherman`s Friends, Victory V`s, pear drops and sarsaparilla`s for people to taste. Training in dementia care will be made available for some staff throughout the Summer which will include, nutrition, behaviour that challenges, theraputic activity and end of life. The home celebrated VE Day recently and raised over 200 pounds for activities. Some of this money was spent on new tables and chairs for the garden and also plants that people had helped to pot. Some people were sat out in the sunshine during our visit. Some people were watching the World Cup. There are plans to register with Ring and Ride so that people will be able to get out more. A shop for people to use had been opened. The menu for the home had been reviewed following consultation with people living at the home and a new menu put in place. People had asked for further changes to be made to the menu and their requests were being addressed. The registered manager said that it was planned that both cooks and the kitchen domestics would attend NVQ training in catering later in the year. There had been one complaint since our last visit. The registered manager had taken action to address this matter. There had been no safeguarding alerts. The staff team had undertaken the local authority e-learning safeguarding training and e-learning training on the Mental Capacity Act that included deprivation of liberty was due to be completed by all staff by the end of June 2010. We looked around parts of the building. The house was clean and tidy throughout. There was some malodour at times that was difficult to trace. The registered manager thought that it might be from a number of chairs. There were plans to buy new chairs in the near future. There were plans also to decorate parts of the home and new carpets were to be fitted throughout the corridor areas. Consideration will also be given to some of the ideas raised at the recent training session to create an environment helps people who have dementia with orientation, for example using coloured doors to find their bedrooms and reducing the impact of mirrors in the lift. Now that the number of people living at the home had started to increase the home was advertising for more staff. The registered manager told us that the staff team had almostcompleted all the mandatory training they needed to carry out their roles safely and effectively. Any outstanding training was planned. More staff were also completing NVQ Level 2. The "back to basics" internal training for staff had been completed and staff appraisals were underway. Since our last visit the manager had registered with us. We talked What the care home could do better: Overall we found no areas of major concern at this visit. The registered manager and the staff team appear to have sustained the improvements made. Plans are in place to increase the staff team`s skills and knowledge in dementia care and continue to strengthen the training and competence of the management team. Random inspection report Care homes for older people Name: Address: Beaumont House 26 Church Lane Whitefield Manchester M45 7NF one star adequate service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Bodell Date: 2 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Beaumont House 26 Church Lane Whitefield Manchester M45 7NF 01617969666 01617967722 glenysgardner@bankfield.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Anne Mellish Type of registration: Number of places registered: Conditions of registration: Category(ies) : Bankfield Premier Care Ltd care home 37 Number of places (if applicable): Under 65 Over 65 37 old age, not falling within any other category Conditions of registration: 0 The service should at all times employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. Within the maximum of 37 there can be up to 37 OP Old Age. Date of last inspection Brief description of the care home Beaumont House is a residential care home for up to 37 older people. The home is one of four homes in Bankfield Premier Care group and is situated in the Bury area. The current fees are 380.00 pounds per week. Beaumont House is a detached home and set in its own well-maintained grounds. It is situated close to local amenities and accessible for local transport including the Metrolink and major bus routes between Care Homes for Older People Page 2 of 9 Brief description of the care home Manchester and Bury. The home comprises of four large lounges and a smaller lounge and two dining areas. There are also 37 single bedrooms all with en-suite toilet. The home is two storeys with an extension to the rear and side. It is divided into two units, one on the ground floor and one on the first floor. Communal areas are found on each floor and access is available via a passenger lift. Respite and short stay care may also be provided if a place is available. Care Homes for Older People Page 3 of 9 What we found: The reason for this visit was to make sure that the home had sustained and continued to make improvements since our last key inspection visit on 23rd February 2010. We (the commission) spent five hours at the home. During that time we spoke with the registered manager, a support worker and the new activities organiser. We looked around parts of the home and at paperwork. A pharmacist inspector looked at medication practices. What the care home does well: The quality rating for the home improved at our last key inspection visit. Since that time six new people had moved into the home. The registered manager confirmed that people had settled in well. Because of the increase in numbers of people the upstairs lounge and dining room were now back in use. The registered manager carried out an assessment before agreement was reached for the person to move in and an assessment was also undertaken by a qualified social worker. Copies of these documents were seen on the two care files that we looked at. The home had changed the way that records were held. The registered manager informed us that it was planned to change to a computerised records system in August 2010. The care records that we looked at contained detailed care plans and risk assessments that had been reviewed regularly. Information about end of life wishes, mental capacity and lasting power of attorney, needed to be added to the care records. During this inspection visit the pharmacist inspector looked at how well medicines were handled to make sure that people were being given their medicines properly and that all medication could be accounted for. This was because at previous inspection visits medicines had not been handled safely, but at the last inspection we saw that there had been many improvements in medicines handling. This inspection visit was to make sure that medicines were still being handled safely and peoples health was still protected. During this visit we looked a sample of records about medication together with medicines currently available for those people. We found that the records about medicines had improved even further in almost all areas and that those records showed very clearly that people were given their medication as prescribed and medication was handled safely. At the last inspection visit we recommended that checks were made to show it was safe to keep creams in peoples bedrooms. During this inspection visit we saw that all creams were kept safely in the medication room. We also recommended that a cooling system was put in the medication room to ensure medication was stored at the correct temperatures. This had not been done, however a check of the temperatures had been recorded and all the records showed the temperature was just within acceptable limits, including on the day of inspection visit, which was very hot. We made a third recommendation which highlighted the need for staff to have clear information recorded about how to give medication to people when it was prescribed when required. The manager assured us she would address this outstanding recommendation as soon as possible. We also highlighted the need for guidance for staff to give people medication which had been prescribed as a variable dose. We found that Care Homes for Older People Page 4 of 9 the information about the variable doses had been obtained and staff now had good guidance in this area. The improvements made in medicines handling seen at the last inspection had continued. People were given their medication as prescribed and all other areas of medicines handling were safe and medication can be accounted for. Peoples health and welfare were protected. We spent time watching what went on around the home. People appeared well cared for. Interactions between people living at the home and the staff on duty were seen to be frequent and friendly. The atmosphere was very relaxed. We spoke with the new activities organiser who had worked at the home for a number of weeks. Both she and the registered manager had attended a Therapeutic Activities in Dementia course. They had found to be highly informative and had given them helpful ideas about ways to interact with people with dementia. They had started to put together memory boxes for example a box that contained different smells and they also had old fashioned sweets such as Fishermans Friends, Victory Vs, pear drops and sarsaparillas for people to taste. Training in dementia care will be made available for some staff throughout the Summer which will include, nutrition, behaviour that challenges, theraputic activity and end of life. The home celebrated VE Day recently and raised over 200 pounds for activities. Some of this money was spent on new tables and chairs for the garden and also plants that people had helped to pot. Some people were sat out in the sunshine during our visit. Some people were watching the World Cup. There are plans to register with Ring and Ride so that people will be able to get out more. A shop for people to use had been opened. The menu for the home had been reviewed following consultation with people living at the home and a new menu put in place. People had asked for further changes to be made to the menu and their requests were being addressed. The registered manager said that it was planned that both cooks and the kitchen domestics would attend NVQ training in catering later in the year. There had been one complaint since our last visit. The registered manager had taken action to address this matter. There had been no safeguarding alerts. The staff team had undertaken the local authority e-learning safeguarding training and e-learning training on the Mental Capacity Act that included deprivation of liberty was due to be completed by all staff by the end of June 2010. We looked around parts of the building. The house was clean and tidy throughout. There was some malodour at times that was difficult to trace. The registered manager thought that it might be from a number of chairs. There were plans to buy new chairs in the near future. There were plans also to decorate parts of the home and new carpets were to be fitted throughout the corridor areas. Consideration will also be given to some of the ideas raised at the recent training session to create an environment helps people who have dementia with orientation, for example using coloured doors to find their bedrooms and reducing the impact of mirrors in the lift. Now that the number of people living at the home had started to increase the home was advertising for more staff. The registered manager told us that the staff team had almost Care Homes for Older People Page 5 of 9 completed all the mandatory training they needed to carry out their roles safely and effectively. Any outstanding training was planned. More staff were also completing NVQ Level 2. The back to basics internal training for staff had been completed and staff appraisals were underway. Since our last visit the manager had registered with us. We talked with the registered manager at length. Now that outstanding mandatory training had almost been completed, the manager was looking at developing the competence of the management team further. Training was due to start during the Summer months and will included, communication skills, first line management, leadership, supervisory skills, team building, delegation and motivation, and will be attend by all senior staff. 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 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, 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 7 Up to date information needs to be added to care files in relation to lasting power of attorney, mental capacity and end of life arrangements. This needs to be done to ensure that staff have access to accurate information. Clear information needs to be recorded when medication is prescribed when required to enable staff to give it consistently and safely to the people for whom it has been prescribed. Any outstanding mandatory training that is planned needs to be undertaken by staff. This needs to be done to ensure that staff are competent to carry out their roles safely and effectively. 2 9 3 30 Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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