Care Home: Beck House

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What the care home does well Generally, the home was found clean, warm and well lit. No unpleasant odour was noted. Residents are supported with risk assessments to make decisions in relation to places to go and activities to participate in. Considering the size of the home individuals living at the home are supported and encouraged to join in activities together in order to foster a long lasting relationship. It was evident from the staff interaction with the residents` and the records seen that there is a warm relationship between the staff and the residents at the home. The manager stated that the aim of the home is to support the residents to achieve independent living skills and also to make choices without feeling threatened.Individuals living in the home are treated with dignity and respect, whilst supporting them to remain independent. All staff are aware and understand the needs of all individuals and especially how to communicate with them in good and difficult times. There are good relationships between the home, General Practitioner, Social Services and other health professionals Staff are adequately trained and developed to ensure that the needs of the individuals living at the home are met. What has improved since the last inspection? The home had invested on a major building work at Beck House and completed phase one of the project in December 2007. Phase two of the building work the home hopes would be completed at the end of October 2008. When the building is completed and handed over to the provided it is expected that Beck House would accommodate 23 residents if the registration with the Commission is satisfactory. The manager stated in the AQAA that the home had purchased computers and software packages and training for introduction of electronic records for residents, staff and accounting purposes. What the care home could do better: At feed back we discussed the observation made in relation to the wardrobe noted in a shared room with the potential of causing injury to the residents if not secured to the wall. It was agreed that this work must be carried out in order to protect the individuals concerned. The Commission received information from the home that this work had been carried out to ensure safety. To ensure that staff receive appropriate information in relation to reporting any incidents of suspected abuse it is recommended that the home obtain an updated copy of the South Gloucester Guidance on the Protection of Vulnerable Adults. The Commission received information that this has been obtained before this report was completed. No requirements or recommendations were made following this inspection. CARE HOME ADULTS 18-65 Beck House 2 Manor Court Beckspool Road Frenchay South Glos BS16 1NT Lead Inspector Grace Agu Unannounced Inspection 3rd October 2008 09:00 Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beck House Address 2 Manor Court Beckspool Road Frenchay South Glos BS16 1NT 0117 9573177 0117 9573177 mclarke@themanorhouse.org Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Marilyn Joan Clarke Mrs Wendy Elizabeth Newell Care Home 14 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories Learning disability (Code LD) Physical disability (Code PD) The maximum number of service users who can be accommodated is 14 21st November 2006 2. Date of last inspection Brief Description of the Service: Beck House is located in the village of Frenchay approximately four miles from the centre of Bristol. It is in a semi rural location close to Frenchay Common and there are shops and other community amenities within one mile of the home. The home is one of four within the Manor House Organisation, which also provides day care at the Bingham Centre. Beck House is adjacent to The Manor House and shares this site with the day centre and respite care service for children with disabilities, Alice House. The other home Kendall House is in Warmley. Beck House is registered to provide accommodation and personal care to fourteen people with a learning disability. Presently the home has three vacancies. The provider stated that they had no intention of filling the vacancies enabling single occupancy of bedrooms. This is a commitment from the home to meet the National Minimum Standards. Presently there are two double rooms. There are plans for an extension of the home that could lead to the provision of all single bedrooms. The philosophy of the home and the organisation is concerned with dignity and respect, independence, participation, valuing people, equality, and rights and working together. The registered manager is Ms W Newell. The fees at the time of producing this report are in the range of £627-862 depending on the care needs of the individual. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 5 Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience Good quality outcomes. This was an unannounced inspection that took place over six hours to review the requirements made at the last inspection and also the care practices to ensure that they are in line with the legislation and that current good practice is followed at the home. At the last inspection, five requirements and three recommendations were made in relation to different areas of service provision at the home. It was pleasing to note that the home had made considerable effort to ensure all the requirements had been met and the recommendations had been considered. This is commendable. We met with the Home manager Mrs Wendy Newell and spoke informally with two residents before they went out for the day. We also had an opportunity to speak with two staff members’ three residents relaxing at home and two others when they returned from the day centres before the inspection was concluded. A tour of the building was undertaken, and a number of records were reviewed. What the service does well: Generally, the home was found clean, warm and well lit. No unpleasant odour was noted. Residents are supported with risk assessments to make decisions in relation to places to go and activities to participate in. Considering the size of the home individuals living at the home are supported and encouraged to join in activities together in order to foster a long lasting relationship. It was evident from the staff interaction with the residents’ and the records seen that there is a warm relationship between the staff and the residents at the home. The manager stated that the aim of the home is to support the residents to achieve independent living skills and also to make choices without feeling threatened. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 7 Individuals living in the home are treated with dignity and respect, whilst supporting them to remain independent. All staff are aware and understand the needs of all individuals and especially how to communicate with them in good and difficult times. There are good relationships between the home, General Practitioner, Social Services and other health professionals Staff are adequately trained and developed to ensure that the needs of the individuals living at the home are met. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 8 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home assesses residents to ensure that their need would be met. EVIDENCE: There has been no addition to the residents’ numbers since the last inspection due to major building works to provide additional accommodation at the home. On the day of the visit the building work was still in progress and the manager stated that it is expected that the work will be completed on Friday 11th October. The home sent us the updated Statement of Purpose and Service Users Guide in preparation to admitting more residents at the home. Copies of these documents were noted in the temporary managers office. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 10 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are supported with individualised care plan and are supported to participate in running the home. Risk assessments are in place to enable them to live independent lives. Information about them is kept confidential. EVIDENCE: Four care files were reviewed and they contained person centred plans to reflect the changing and complex needs of people using the service. The care files also contained personal information to include next of kin and social and other health care support. The care records reviewed contained comprehensive information focused on the specific requirement of the individual. The care plans also contained a range of information to include likes and dislikes, choices they make, how they communicate, family and friends. These care plans were regularly reviewed. Other records noted on the care file contained information to include ‘About me’ this gives specific information about the person’s, likes and dislikes, hopes and fears, valued options and relationships including speech and language Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 12 therapy programme. Other information noted in the records include care review notes and the details of how staff can interpret the non-verbal communication of the resident and more importantly when the resident is unhappy or dissatisfied with any aspect of the services or their care. Staff were seen adding and referring to the care records during the inspection demonstrating that they are using the documents as a working tool as expected. Staff were also noted interacting with residents and one staff member spoken with stated that through body language and facial expressions staff are able to obtain consent or disapproval from a service user. The staff member described a typical morning with a particular resident and how the resident is enabled to make choices. The care files viewed contained comprehensive risk assessments in place, which had been developed from using the individual care plan. The risk assessments seen included, “using the bath, using the bed rails, accessing the community and manual handling. These risk assessments were recently reviewed. Records show that the people living in the home are supported to attend regular house meetings and the notes of the last 2 meetings were seen to include discussion about holidays, food, visits and staff and the inspector gained the clear impression that everything that occurred in the home was done with the involvement of the people who use the service Staff spoken with on the day-demonstrated knowledge of the residents’ needs and understanding of their roles and responsibilities in relation to confidential information about the residents. The Home has a confidentiality policy. The Home maintains an individual daily diary for each individual. This diary is written from the resident’s perspective. For example in one individual’s diary the person describes how she felt for the day. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,16,17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People who live in the home are encouraged and supported to engage in leisure activities and maintain links with the community, family and friends. Healthy diet is provided for the individuals at their chosen times ensuring that their individual rights are respected. EVIDENCE: We noted from discussion with the manager and reviewing the care files that residents are supported to lead active lifestyles based on their level of understanding and choice The atmosphere of the home was relaxed and calm and staff were noted to be interacting with residents in a dignified manner. Each resident’s care files contain details of their likes and dislikes and provides a list of activities enjoyed by the individual. These include aromatherapy, music, massage, foot spa and sensory equipment. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 14 Some individuals living at the home were attending various routine activities away from the home first thing on the day of inspection. When they returned at different times they were found to be relaxed in a positive atmosphere. Staff were noted interacting with residents in informal, however, sensitive and respectful manner. This is a demonstration of good practice and shows that the home includes the residents in the daily routines. There was evidence that residents have regular contact with families. Relatives told us in the survey sent to home that they are satisfied with the care provided at the home. The manager told us that one service users family visits every Friday to see their loved one. We noted from discussion with the registered manager and reviewing the care files that people who use the service are supported to lead active lifestyles based on their level of understanding and choice. The manager stated that all the service users have a planned activities programme, which is supported by staff in the home. Activities noted in the individual care files include going out for walks when the weather is good, going out to pubs and individual interactions. The manager stated that service users were supported to visit Slimbridge, Brean and Sidmouth. There was evidence of one’s individual holiday to Cornwall with staff support in one of the care files viewed. Another person went to an adventure park in Devon and entries on the record book confirmed that the individual enjoyed the swimming and the rides. The manager told us that Beck House has it’s own house car and most staff are drivers and are able to take residents out if required after consultation using visual signs or any other appropriate communication tool. An activities person compiles a report monthly to enable the manager write a quality monitoring audit at the home. Through observation and discussion with staff, it was evident that people living at the home are treated with respect and dignity when receiving personal care. The manager told us that staff are aware of the needs and preferences of the individuals and despite the fact that it is difficult to establish the level of understanding of each individual due to profound learning disability, staff continue with normal conversation and are often able to expect responses based on knowledge and experience of caring for the individuals. The bedrooms viewed showed individual taste and choices in their personal belongings and decorations. Individuals met on the day were seen being supported by staff to go out for outside activities and for lunch. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 15 There was a range of food choices for teatime meals at home including cooked meals. A nutritional health pro-forma looked at by the inspector included the service users likes and dislikes and weight monitoring. Some meals require being puréed, and these were being presented attractively. Staff assisted residents with their food in a sensitive manner helping to ensure the meal was a relaxed and dignified experience. One staff member stated that service users have a healthy appetite and that staff know individuals’ preferences. There was documentation regarding assistance required with eating and drinking, a speech and language therapist had reviewed this recently. There was a record of procedures to be followed. There were snacks and fresh fruit available in the kitchen. There was evidence in service users files of contact with parents and families. A staff member advised the inspector that service users were assisted to speak with and listen to their relatives over the telephone and key workers enabled service users to maintain contact. Relatives’ birthdays were on file. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home supports the residents as required and ensures that the emotional and physical health needs are met; it protects the residents from potential harm through satisfactory medication practices. EVIDENCE: Evidence from the care files reviewed and discussions with a staff member show that the residents are supported with their personal and emotional care and how these are carried out. The staff member was able to describe in full detail how one individual is supported routinely including the level of support provided by staff to ensure that the individual maintains independence. The care files also provided staff with information on actions to be taken if they were exposed to challenging situations. One resident noted with challenging behaviour was treated with kindness and sensitivity. Staff used their professional skills and experience to attend to one resident with complex needs without undermining the residents’ independence. Staff were noted knocking at the doors and waiting for answer before entering to attend to residents in their individual bedrooms. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 17 The staff member also described the individual needs and risk assessments in place to ensure that the needs were met. The staff member stated that one individuals care needs was recently reviewed following an incident and the strategies put in place to reduce the risk involved. Review of the care file and discussions with staff members shows that residents are supported to visit their GP’s to attend urgent or routine appointments and other health professionals as required. We noted that an epilepsy monitor was in all the rooms of all residents with the condition to raise alert to staff if a resident had a seizure. Entries noted in the daily report evidenced how support and personal care was provided to reflect the care plans in place. The care plans noted were regularly reviewed to include reviews from the Community Learning Disability Team. Medication administration records were in place and were found to be accurate and reflected the current medication held within the home. Staff files reviewed showed that staff working at the home have completed training update on medicine administration competency. Staff are aware of how to support individuals towards the end of life and time of death. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and harm through robust policies, the Home provides detailed information to enable residents to complain. EVIDENCE: Staff are aware of the Home’s policies and procedures in relation to reporting incidents of abuse and have received training on Protection of Vulnerable Adults from Abuse (POVA). There is also a copy of the South Gloucestershire Council policy on POVA at the home to ensure awareness of the protocol to be followed if incidences of abuse occur. However this edition was issued in 2001. It was recommended that the home manager obtain an updated copy of this document to ensure current information is available for staff at the home. The Commission received information that this has been obtained before this report was completed. There is a complaints procedure available in the home. The document contains information about the Commission for Social Care Inspection and is in an appropriate format relevant to the service users group. Two complaint recorded in the complaint book were noted to be satisfactorily resolved. The Senior Support Worker met on the day of inspection stated that the Home enables the residents to complain through good knowledge of the individuals and interpretation of the behaviour to enable staff to make a complaint on their behalf. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 19 The complaint procedure is also explained to the residents on a one to one basis, during resident and staff meetings. The home is in regular contact with relatives and ensures that issues are quickly resolved whenever they arise. One survey returned to us from for the home that was completed by a relative stated “parents play a big part in our relative’s wellbeing and Beck House always keep us informed about anything to do with the home”. Evidence from staff records showed that satisfactory references and Criminal Records Bureau disclosures were obtained for all staff working at the Home. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,29,30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents are provided with a good, clean, comfortable environment and with suitable specialist equipment where they feel safe to live. EVIDENCE: Beck House is located in the village of Frenchay approximately four miles from the centre of Bristol. It is in a semi rural location close to Frenchay Common and there are shops and other community amenities within one mile of the home. The home is currently registered for 14 residents with learning and physical disability however there were only 11 residents at the home on the day of visit. The home had invested on a major building work at Beck House and completed phase one of the project in December 2007. Phase two of the building work the home states would be completed at the end of October 2008. It is expected that when the building is completed and handed over to the providers that Beck House would accommodate 23 residents if the registration with the Commission for Social care were successful. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 21 The home was found to be clean tidy and free from unpleasant odours and generally the residents were found relaxed and enjoying the company of one another. The bedrooms viewed were well furnished and decorated to each resident’s choice. All bedrooms have en-suite facilities consisting of a toilet, wash hand basin and a walk in shower. All bedrooms viewed were personalised, colour coordinated, clean and pleasantly furnished. We noted that some bedrooms have odour eliminating clinical waste equipment to ensure that individuals with continence issue feel comfortable in their own surroundings. All the corridors have handrails fitted on both sides. The toilets and bathrooms had grab rails and various manual handling equipment and aids to assist the staff with meeting residents needs The present kitchen was not inspected due to the information given to us by the manager that the new building will accommodate the kitchen when completed. The manager also stated that the Laundry would be located in a different facility outside the building. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents enjoy a good and warm relationship with competent staff. The home’s recruitment procedure offer protection to the residents living in the home. EVIDENCE: Staff records viewed showed that staff have attended medication competency training, first aid, food hygiene training and manual handling, health and safety, dementia awareness and personal care. There was also evidence that five staff members have obtained National Vocational Qualification (NVQ) at level 3, one staff member at level 2, one domestic staff at level 1 and one staff member is currently undertaking NVQ at level 2. The registered manager along with a senior support worker have obtained Registered Managers Award qualifications. One staff member had also undertaken an Equality and Diversity course. On the day of the inspection, one resident met at the home was noted being supported by one staff member to attend Day Centre activities. The relationship between the staff member and resident was warm and friendly. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 23 One staff member that assisted with the inspection process by showing us round the building stated that all staff working at the home are aware of residents needs and are able to give appropriate support to each individual. The rota showed that the home is adequately staffed to meet the residents’ needs. All staff records viewed had job descriptions to ensure that they were aware of their roles and responsibilities. One staff member spoken with on the day stated that there was good communication between all staff and that this has enabled them to provide support and good care to meet the complex needs of both individuals. To enable us to form a judgement about the how staff care for the people living in the home we sent comment cards to the relatives, health professionals and other visitors to the home. These are some of what they told us: “All staff at Beck House are friendly and helpful and keep in touch with parents”. “ Our relative has been at Beck House for a long time, the home is very clean, caring and do lots of activities with the residents. I could not wish for a better place for my relative”. “My relative has been at Beck House for so many years. They have never spoken but can make themselves understood by gestures and if unwilling or willing to comply with any activity. We couldn’t wish for more gentle, loving and efficient care, which has grown over the years. We shall be eternally grateful for this and their friendship”. Discussions with staff members and evidence from staff records showed that the staff have received regular supervisions to enable them to perform their duties effectively and to discuss issues of concern in relation to residents needs. There was evidence that new staff record recruited since the last inspection, viewed, had all the necessary recruitment documentation to ensure that residents are protected. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well run by a competent manager who ensures that residents are adequately protected through appropriate health and safety measures. EVIDENCE: The Home Manager, Wendy Newell is competent and well qualified. Ms Newell has a Registered Managers Award qualification along with National Vocational Qualification Assessors award City and Guilds certificates in Community Practice and Foundation Management for Care. Evidence noted from staff interaction and team bonding on the day of the visit showed that the home is well run by the manager. The manager demonstrated a clear undertaking of the role she has within the home and showed a comprehensive understanding of the residents’ needs. Staff spoken with Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 25 appeared happy with the home’s management. This is an evidence of the Manager’s leadership and management style. Staff members met on the day showed an in-depth knowledge of all the residents discussed and provided explicit information on complex needs of the individuals living at the home. One staff member stated that the manager is a good manager, she is approachable and would listen to any concerns staff may have. Staff work as a team, there are regular staff, and resident meetings. Evidence of measures used to monitor the quality of service provided at the home-included regular care plan reviews, risk assessment reviews and regular staff supervisions and staff training. The monthly-unannounced visits to the home take place by the provider and these reports are forwarded to the Commission for Social Care Inspection every month as required by the legislation. The home’s policies and procedures reviewed included confidentiality, challenging behaviour, missing persons, supervision, Protection of Vulnerable Adult and Manual Handling. These policies are reviewed to ensure that staff are kept up to date in terms of information regarding how to provide continuity of care to the people living in the home. Accidents book showed that all accidents were well documented and followed up and when required a Regulation 37 notification form is used to inform the Commission for Social Care Inspection of serious injuries to the residents. The residents’ money reviewed was satisfactory. The manager satisfactorily explained how the home deals with residents’ money. This is stored in a safe and locked cabinet and receipts are obtained and are recorded for every item paid for. The amount recorded in the book corresponded with the amount found in the safe. Other residents’ information was noted securely locked away. Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 X Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 27 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beck House DS0000003349.V372733.R01.S.doc Version 5.2 Page 29 - 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!