Care Home: Beaumont Park Nursing & Residential Home

Similar services:

• Claremont House
• Oak Ridge
• Sun Court Nursing Home
• Ashville House
• Bramley Avenue (73)
• Bilney Hall
• Hill Barn
• Mabbs Hall Nursing Home

What the care home does well The home is very careful when they employ new staff, they make sure that they check where they last worked and carry out another check against a special register that helps them make a decision if that person is suitable to work. This is needed before someone is allowed to work in a home, as it provides information on the member of staff character for example. This means people can feel safe knowing that the home is cautious. This means that the risk of someone who is not suitable being employed to work at the home is reduced, so protecting the people living there. Almost all the people living at the home feel that the staff are kind and friendly toward them. One person said, "I think the staff here are very good". This means that people feel comfortable with the staff and find them supportive. Staff are also good at making sure people receive the medical support that they may need. If someone needs to see a Doctor if they feel unwell, staff are quick to arrange this on their behalf if they need help with this. Staff will also find out if that person needs someone else to go with them, and will also arrange this. This means people living at the home receive prompt treatment and support to access medical treatment. What has improved since the last inspection? Staff had worked on making improvements to medication systems in the home. Staff were now following safe practise in this area, and one person is designated as being in charge of ordering medication and auditing. We found one error, this was where someone had made a mistake when they had carried forward the balances of one medication from one month to another. We spoke with the person in charge of this area and the manager and they took action on this the day of inspection. What the care home could do better: Several of the communal areas at the home had been re painted and had new flooring fitted, these had improved the environment in these sections. However other areas still have several scuffs on the paint work and the carpets are worn. The manager explained that the home had a rolling programme of maintenance. However this should be started so that the environment always provides a pleasant place for people to live in. Key inspection report Care homes for older people Name: Address: Beaumont Park Nursing & Residential Home Shortmead Street Biggleswade Bedfordshire SG18 0AT     The quality rating for this care home is:   two star good 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: Katrina Derbyshire     Date: 1 9 0 4 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 24 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) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Beaumont Park Nursing & Residential Home Shortmead Street Biggleswade Bedfordshire SG18 0AT 01767313131 01767313181 admin@beaumontpark.healthcarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Beaumont Park Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 38 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability terminally ill Additional conditions: The maximum number of service users who can be accommodated is: 38 The registered person may provide the following category of service 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 Dementia - Code DE Physical Disability Code PD Date of last inspection 3 0 0 1 2 0 0 9 0 0 5 5 Over 65 20 38 0 5 Care Homes for Older People Page 4 of 24 Brief description of the care home Beaumont Park Nursing and Residential Home is a large detached property close to the town centre of Biggleswade, a Mid-Bedfordshire town that is within easy access of the A1 motorway. Accommodation is provided in single and double bedrooms on the ground and first floor. There is a lift and staircases connecting the two levels and a small platform lift where there are steps. The home is registered for 38 people, however one bedroom has been converted into an office so the maximum accommodated is 37. The home is situated off the main road and has parking at the front, for staff and visitors. There is a well laid out garden to the rear with a pond and seating areas. Care Homes for Older People Page 5 of 24 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: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This was an unannounced key inspection carried out on the 19th April 2010. The care of three people was looked at in detail and this is known as case tracking. Tracking peoples care is the methodology we use to assess whether people who use social care services are receiving good quality care that meets their individual needs. Through discussion, observation and reading records, we track the experiences of a sample of people who use a service. During the visit the communal areas of the home were seen alongside some of the individual rooms. Time was spent with many of the people who live at the home in one of the sitting areas. Care Homes for Older People Page 6 of 24 Observations of care practise and communication between the people living at the home and staff was also made at the inspection. Prior to the visit taking place the Care Quality Commission had sent to the home an Annual Quality Assurance Assessment (AQAA). This was returned prior to the visit and provided information on how the service self assess their own performance. During the visit we checked some of this information to make sure that what had been submitted was accurate. In addition we sent out a number of surveys to people that live in the home and staff, their comments have been used as part of this inspection. The focus of this inspection was to look at the key standards Care Homes for Older People Page 7 of 24 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 Older People Page 8 of 24 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 9 of 24 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. The standard of pre admission assessment is consistent and continues to be good ensuring the staff have sufficient information to know if they will be able to meet the individual needs of the person. Evidence: Care records examined contained documentation to show that an assessment had been undertaken prior to their admission to the home. Information included the physical, social and emotional needs of the person, information seen supports the view that the service continues to capture sufficient information on a persons needs prior to moving into the home. Written evidence again was seen from commissioning authorities that had been used alongside the homes assessment information to ascertain if the home would be able to meet the persons needs. The manager at the home also stated that prospective people and their families were welcome to visit the home at anytime before they made a decision to move into the Care Homes for Older People Page 10 of 24 Evidence: home. Intermediate care is not provided. Care Homes for Older People Page 11 of 24 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. Staff are good at supporting people to access health care support so that their health needs are met. Medication systems need further improvement to ensure all medication entries reflect the stock levels in place. Evidence: Care plans were examined within the individual records: a plan of care was in place for all of the assessed needs with a linkage to the assessment described in the first section. The level of detail within the plans varied, some containing specific guidance to staff for example, does not like soap to be used on their face. Others gave only a brief outline and would need more information to make them person centred. Observation at this visit showed staff speaking to people living in the home in a courteous manner. Several people were sitting in the two lounge areas of the home, staff were seen to walk in and out and they would always engage with the residents when they did. We saw that one person had difficulty with a drink they had been given, the staff member immediately recognised this and gave the person the support that they needed, this was carried out discreetly. We spoke with this person Care Homes for Older People Page 12 of 24 Evidence: afterwards and they said, I cant thank the staff enough, I dont want to be dependant on anyone but I am and they dont make me feel like I a burden. Appropriate equipment was in place for the treatment and prevention of pressure ulcers, and risk assessments alongside nutritional screening is in place, and reviewed regularly. Medication were detailed within the individual care records, these gave guidance to staff on all prescription medication that should be given. In addition individual medication administration sheets were maintained and these were noted to match all other records. Medication was kept in a locked storage area and was seen to be secure within two areas in the home. Medication records and stocks were examined. In the main the stocks and charts that were seen were noted to be correct. However the carried forward balance alongside the current stock level entry was not. A random check of controlled medication was also undertaken, stocks and records were correct. Documentation showed that people had access to medical services if required, appropriate aids were available and advice is sought from Health care specialists in their care. Care Homes for Older People Page 13 of 24 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. Opportunities for social activities are good and meet peoples individual preferences and needs in this area. Evidence: Activities available at the home were seen to be on display, a board in the conservatory showed that activities available the week of this inspection included: bingo, hair and pamper, slide show and a visit to a farmers market. The Bedfordshire library service also visits the home and church services are held. Two of the people we spoke to gave their opinion of activities in the home, both stated that they enjoyed any activity as it helped pass the time. Comments also included that they would like to see more available at the weekends. Documents seen within the care folders showed that staff tried to maintain regular contact with relatives. The manager confirmed that there were no restrictions on visiting based on a residents wishes. At the time of the inspection no relatives were in the home, however we spoke to residents to ask their view about this. They confirmed that their friends and family did visit them, they explained how important this was for them as one person said, its the highlight of my week. Care Homes for Older People Page 14 of 24 Evidence: Options available to people in maintaining control, independence and choices in their lives continue to be, choice of meals, voting, choice of clothing, access to a complaints procedure and access to community health care support. People living at the home and records confirmed that the choices associated with peoples daily lives were available to them whilst living there. At this visit there was no menu board on display, however this was because the dining area had only just finished being re decorated and the new board had not yet been put up. Nutritional risk assessments were kept within the care folders, one person had been assessed as being at high risk of weight loss. They had been referred to and seen by a dietitian when supplements had been prescribed. Meals in the home provided protein, carbohydrates and vegetables were noted to be offered daily providing a balanced diet. Care Homes for Older People Page 15 of 24 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. Systems in place at this home for receiving and investigating complaints is good so people are assured that their concerns will be acted upon. Evidence: As assessed previously over several inspections the home had a complaints procedure that was displayed in the hallway. This clearly indicated the complaints procedure including time frames for response, and the Care Quality Commission contact details. People knew of the process if they wished to make a complaint. Examination of records showed that complaints that had been received by the home had been looked into and responded to by the management in the home. We looked at records relating to a complaint received by the service in the summer of 2009. The documents showed that the manager had looked into the areas of concern that hd been raised, responded to them and made changes to try and improve the care standards. There was a policy for the safeguarding of Adults available. The home has been involved in safeguarding cases, during this time they had followed the protocols under the local guidance. The actions that the manager and staff took demonstrated an understanding of the procedure to be followed to safeguard people. Staff had also attended training in this area and were able to demonstrate a sufficient understanding in this area when asked. Care Homes for Older People Page 16 of 24 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The general maintenance of the environment in some areas of the home still needs to improve, although this does not place people at risk it does not create a pleasing and pleasant environment to live in. Evidence: Accommodation continues to be provided in single and double bedrooms on the ground and first floor. There is a lift and staircases connecting the two levels and a small platform lift where there are steps. The furnishings, fittings and decor in these areas are of an acceptable standard. The rear garden area provides spaces to sit out in the warmer months. Individual rooms contained personal items of the person to assist in creating a homely atmosphere. Re decoration of the dining room had just been completed at the time of this inspection, the communal area alongside this had also been repainted recently. However other areas were in need of redecoration for example marks and scuffing along walls, carpets in need of replacement. All areas visited on this day were tidy and free of odours. Staff were observed to wear suitable protective clothing when carrying out certain activities. Cleaning schedules were in place and clinical waste was disposed of in an appropriate manner and clinical waste contracts are in place. Care Homes for Older People Page 17 of 24 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 have the training and support to be able to meet the needs of the people living at the home. Evidence: The homes recruitment policy and procedures as previously assessed are clear. Three files were examined at this inspection of those staff most recently employed by the home. All three files contained an application and references. In addition an Adult First check had been undertaken prior to their commencement at the home, evidence of a criminal records bureau check was also in place. Communication and interaction between people living at the home and staff was seen to be supportive and frequent. The interaction suggested that good relationships had been built up over time. Comments from people that live at the home included, I like them all and they are nice to me. Training records were examined, these showed that training had been undertaken by some staff in the following areas, moving and handling, food hygiene and health and safety. On questioning staff they confirmed that they had access to training and felt that they had sufficient support to enable them to undertake their role in the home. People living at the home who were spoken with felt that the staff had a satisfactory level of knowledge and felt confident in their abilities to meet their needs. Staff when questioned on the needs of people were able to give a sufficient explanation as to the Care Homes for Older People Page 18 of 24 Evidence: individual and their needs and preferences. The home employ catering and housekeeping staff alongside varying levels of care and support workers. Again people felt that there were sufficient staff on duty to meet their individual needs. Care Homes for Older People Page 19 of 24 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. Health and safety in the home is managed well and reduces the risk of accidents to people at the home. Evidence: There was a Registered Manager in post at the time of this inspection. However he informed us that he would soon be leaving as he had gained promotion within the company, a replacement manager had already been appointed and there would be a one week handover between them. Staff spoke highly of the support that the current manager offered them in carrying out their roles and responsibilities in the home. They found him approachable and clear in his guidance to them, describing him as valuing their contribution to the running of the home. The views of people that have been involved in the home had been sought through the sending out of questionnaires. The manager advised that any comments that were received would be acted upon. Health and safety records were examined. These showed that safety checks including Care Homes for Older People Page 20 of 24 Evidence: fire, water temperature and electrical appliance had been carried out. Staff training records showed that staff had also received training in the varying areas of health and safety. Risk assessments had also been carried out, these showed where there was a possible risk and gave guidance on what staff should do to reduce this risk. Care Homes for Older People Page 21 of 24 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 22 of 24 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 23 of 24 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 Older People Page 24 of 24 - 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!