Care Home: Beckfield House Residential Home

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well Beckfield House provides a comfortable, safe and homely environment for people to live in. It is very well managed and organised. A resident said `It`s very friendly` and a visitor said `It`s not institutionalised at all`. Residents have care plans and reviews are carried out frequently; families and other professionals are involved in the reviews. Staff members are well trained and feel supported by the registered manager. They have a sound knowledge of residents needs. The staff team is stable, having worked at the home for many years. They work well together and have established a good working relationship with the community health care teams and local GPs. The survey forms returned by residents and their families were all very complimentary about the care they received. What has improved since the last inspection? Recent improvements included the completion of the extension to include 8 ensuite bedrooms, a lounge, a hair salon and sluice. 3 of the existing bedrooms have been remodelled to include en-suites. Some rooms have been redecorated, there are new carpets to the entrance hall and a bathroom has been refurbished. There is a loop system in the new lounge and there are new chairs in the front lounge. There is now a large patio/seating area and a ramp to the decking area, making wheelchair access easier. More games have been purchased, some of these being larger versions so that residents with poor sight or mobility can play them. CARE HOMES FOR OLDER PEOPLE Beckfield House Residential Home Station Road Heighington Lincoln Lincs LN4 1QJ Lead Inspector Julie Western Unannounced Inspection 2nd July 2008 09:00 X10015.doc Version 1.40 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 Beckfield House Residential Home DS0000002700.V367738.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 Older People. 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. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beckfield House Residential Home Address Station Road Heighington Lincoln Lincs LN4 1QJ 01522 790314 01522 790316 beverleycowan62@hotmail.com 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) Allington Healthcare Limited Mrs Beverley Cowan Care Home 27 Category(ies) of Old age, not falling within any other category registration, with number (27) of places Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 27 11th July 2006 2. Date of last inspection Brief Description of the Service: Beckfield House is a late Victorian, two-storey house, set in its own grounds in the village of Heighington. A former private residence, it is owned by Allington Healthcare Ltd. and has undergone a considerable amount of refurbishment and development. There is a large garden and parking for several cars to the front of the building. Heighington is four miles from the centre of Lincoln and offers amenities such as a post office, bakers and a small supermarket as well as a number of public houses and a church. The home is registered to provide residential care and accommodation for up to 27 residents, with 21 single rooms, 13 of which are en-suite and 3 double rooms, one of which is en-suite. There is also provision for up to 8 day care places; this was not inspected. Accommodation for the residents is on two floors, with the first floor is accessed by a stair lift. The Service User guide states that the principle of the home is to provide a high standard of care and comfort for all residents in a safe, manageable and comfortable environment. Information provided prior to the inspection indicated that the current range of fees is from £415 to £425. Hairdressing, chiropody, off premises entertainment, newspapers, preferred personal toiletries and taxi/private transport are charged separately. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key inspection was carried out over three hours and took into account any previous information held by CSCI including the home’s previous inspection reports, its service history, any pre-inspection questionnaires completed by the Manager including the Annual quality assurance assessment [AQAA] and any residents’ questionnaires sent to the home by the Commission prior to the inspection. The site inspection was unannounced and consisted of tracking a sample of residents’ care records and assessing the care given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Four survey forms were sent in by residents or their families. Three residents, three care and ancillary staff and a visitor were spoken with. The Manager was present throughout the inspection. What the service does well: What has improved since the last inspection? Recent improvements included the completion of the extension to include 8 ensuite bedrooms, a lounge, a hair salon and sluice. 3 of the existing bedrooms Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 6 have been remodelled to include en-suites. Some rooms have been redecorated, there are new carpets to the entrance hall and a bathroom has been refurbished. There is a loop system in the new lounge and there are new chairs in the front lounge. There is now a large patio/seating area and a ramp to the decking area, making wheelchair access easier. More games have been purchased, some of these being larger versions so that residents with poor sight or mobility can play them. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. 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. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information provided is freely available to residents and clearly sets out what is available for them. A comprehensive initial assessment ensures that the needs of residents can be met. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis EVIDENCE: The manager confirmed that she always visited prospective residents at home or in a care setting such as a hospital to undertake a thorough assessment of all their care needs. The assistant manager sometimes accompanied her. Records confirmed this. Initial assessments were concise and contained all the information needed to initially care for residents; there was a separate assessment form for respite care residents. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 9 Written admission documentation was comprehensive and clear, giving staff the information they needed to meet the residents’ needs. The statement of purpose was comprehensive and up to date. The service user guide was also clear and contained all the information needed by a new service user. A copy of the service user guide is located in all residents’ rooms. It was suggested that it was printed in a larger print for residents and their relatives to read with ease. A resident described how she had visited for the day before she was sure she wanted to move in permanently. A visitor said ‘This one just felt friendly and homely immediately’. A staff member described the admission process and the importance of making new residents and their families welcomed. The home does not provide intermediate care. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are in sufficient depth and detail to ensure that residents’ care needs can be met. EVIDENCE: The care plans looked at in depth; contained information about the residents’ health and personal care needs. They were reviewed regularly and signed where possible by the service user or relatives/advocates. They contained clear risk assessments. Social histories ensured that there was plenty of information to meet residents’ social needs. There was a clear medication policy and the pharmacist visited regularly, the most recent visit being 20/06/08. Comments were good and no major issues were identified. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 11 Residents received regular visits from district nurses and other agencies involved with their care. Residents spoken with said that they were happy with the way they were looked after; one described how his medication was given to him and said ‘I’m satisfied that they look after me’. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities are regular and are tailored to suit individual residents’ needs. Residents have a choice of meals from a balanced and varied menu EVIDENCE: The service actively promotes independence, choice and privacy by listening to residents and their relatives/representatives. Equality and diversity are promoted through the policies and procedures and through the staff induction procedures, ensuring that residents’ individual needs can be met. The home has a designated activities co-ordinator who works four hours weekly and care plans seen included a list of all residents’ likes and dislikes. There is a programme of regular activities, including entertainers, music to movement, card games, communion services, visits to pubs and garden centres in the home’s people carrier, clothes parties and a book club. Future activities included a garden party in August. Details of forthcoming events were displayed in the entrance area. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 13 Residents spoken with all said they had a choice of whether or not to take part. The home was very much part of the community; residents described how the local nursery group had recently come to the home and sung for them. One resident spoken with said she was taken out by her relatives and enjoyed reading books in the quiet lounge. Residents were observed eating the mid-day meal. All residents said they enjoyed the meals served; one said ‘I never have to complain’ and another said ‘We can have whatever we want for breakfast and tea and there’s a choice for dinner’. The menu was well balanced and offered alternative choices of meals. The cook said that if residents didn’t like any of these choices, she would make them an alternative within reason. The cook was knowledgeable about the nutritional needs of service users. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their families are confident that their comments and concerns will be listened to EVIDENCE: There is a satisfactory complaints procedure in place. Residents spoken with said they knew who to see if they had a complaint and who was in charge. Comments from completed surveys also indicated that residents and their families knew how to make a complaint. Information about making complaints was included in the service user guide. The home had an up to date copy of the Local Authority adult protection procedures; staff members said they had read it. The home’s procedures for addressing complaints and for protection from abuse are clear. The manager said that residents and their families were regularly asked for their views regarding the running of the home. Since the last inspection there had been no complaints. Staff members spoken with were aware of the complaints procedure and ‘safeguarding adults’ procedures. Staff spoken with confirmed that they had received training in safeguarding adults. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a safe, comfortable and pleasant environment that is suitable for their needs. Use of communal hand towels in the staff toilet could lead to cross-infection. EVIDENCE: The gardens were well maintained and offered pleasant places for residents to sit out in good weather. Staff members described how outstanding repairs were identified and a record kept by the manager. Recent improvements included the completion of the extension to include 8 ensuite bedrooms, a lounge, a hair salon and sluice. 3 of the existing bedrooms have been remodelled to include en-suites. Some rooms have been Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 16 redecorated, there are new carpets to the entrance hall and a bathroom has been refurbished. There is a loop system in the new lounge and there are new chairs in the front lounge. A visitor said that his relative had moved into a new bedroom and said ‘It’s cracking; light, airy, nice’. The manager was aware that parts of the older building have been neglected while the building of the extension was carried out and there is a programme to bringing it up to the same standard as the new build. There was a hand towel in the staff toilet; this could lead to staff transferring infection. The building smelled clean and fresh throughout Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably trained, qualified and competent to meet the needs of residents. EVIDENCE: The daily staff rota showed that in addition to the manager there was the care manager, a senior and two carers for 15 residents. The home also employed a cook, a kitchen assistant and gardener/handyman. Care staff carried out laundry tasks. Two additional staff members were recruited and worked part time. The manager said she regularly works shifts at night to monitor care practices. All staff except one have the National Vocational Qualification [a nationally recognised qualification] at Level 2 and three staff members have NVQ at Level 3, with one working towards it. A staff member described how she had an interview, gave three references and underwent an induction and CRB/POVA checks. Staff records confirmed this. Staff training records demonstrated that statutory training has been undertaken and that staff received regular supervision. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,37,38 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 managed and the health, safety and welfare of the residents are promoted. The views of the residents are listened to and they are involved in decisions affecting them EVIDENCE: The manager has been in post for eight years. She has been a SEN since 1982 and has worked the majority of this with older people. She holds the NVQ at Level 4 and the Registered Manager’s Award. The manager and deputy manager work as a team and staff members spoken with said they were very approachable and accessible. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 19 The manager said the owners were very co-operative and left her to run the home, giving her, for example, a free hand with training budgets. The office was well organised and the manager used a computer for documentation and information. There were three policies and procedures files, which were very comprehensive and well maintained. Health and safety policies were well documented and demonstrated a clear commitment to ensuring the wellbeing of residents. There was written evidence that they were updated regularly. There is a quality assurance system in place; this consists of sending questionnaires to residents and their families/advocates. On return, these are discussed with the manager and owners and any issues from the returned forms are addressed. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X 4 3 Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? None 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. 1 Standard OP26 Regulation 13[3] Requirement Measures must be taken in the staff toilet to ensure that there is no risk of cross-infection to residents from staff. Timescale for action 01/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations The service user guide should be printed in a format that is easy for service users to read. Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Beckfield House Residential Home DS0000002700.V367738.R01.S.doc Version 5.2 Page 23 - 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!