Care Home: Beech Dene Residential Care Home

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Westmead

Annual service review Name of Service: Beech Dene Residential Care Home The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Linda Clowes Date of this annual service review: 0 4 1 1 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Westwood Road Leek Staffordshire ST13 8DL 01538388087 01538384046 beechdene@oldfieldcare.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynn Moss Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Mr Simon Badland,Mr Anastasis Kayiatou Number of places (if applicable): Under 65 Over 65 0 0 0 8 35 3 The maximum number of service users to be accommodated is 35 The registered person may provide personal care to service users of both sexes whose primary care needs on admission to the home are within the following categories: Old Age not falling within any other category (OP) 35 Physical Disability over 65 years of age (PD)(E) 3 Dementia over 65 years of age (DE)(E) 8 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Annual Service Review Page 2 of 8 Beech Dene is a large, semi-detached property set in mature gardens, in close proximity to the market town of Leek. The extended part of the home is two storeys but the original building has three floors and a large basement, which is used as the laundry room. We have since the last Key Inspection visit approved an extension/alteration to the property that has provided six single en-suite bedrooms and an additional bath/shower room. The home is currently registered for 35 which includes the option of a shared bedroom where this is requested (e.g. for a married couple). Care needs vary, ranging from dementia care to residents who experience physical incapacities including, visual and hearing impairment. The home provides a comfortable and homely environment with spacious communal areas, providing lots of natural light and views of the front and rear gardens. In addition, there is also a designated smoking room. There are large, well-kept gardens to the front and rear of the property that have adequate seating. In fine weather many residents prefer sitting at the front of Beech Dene as they can observe passers-by. The front of the property is safe and secure, provides adequate parking space, and is monitored with CCTV cameras. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? Following the last Key Inspection on 30 January 2008 we considered that Beech Dene is providing a Three Star (excellent) service. We are, therefore, this year carrying out an Annual Service Review. We looked at all the information we have received, or asked for, since the last Key Inspection. This includes: *The Annual Quality Assurance Assessment (AQAA) that is completed and sent to us by the service. Completion of the AQAA is a legal requirement and it enables the service to undertake a self-assessment which focuses on how well outcomes are being met for people using the service. *Surveys from six people who use the service and their advocates. *Surveys returned by nine people who work within the service. *Information we have about how the service has managed any complaints. *What the service has told us about things that have happened in the service. These are called notifications and are a legal requirement. *The previous inspection findings from the Key Inspection Report dated 30 January 2008. We made three requirements in the last report for the service to: 1.Carry out risk assessments for window security. 2.Carry out a full fire risk assessment of the environment. 3.Carry out fire risk assessments for each person accommodated in the home. What has this told us about the service? The home sent us their AQAA within our timescales. The AQAA gave us information about what they are doing now and what they want to do in the future. It could have been improved by giving greater detail and examples to illustrate statements made: They tell us about how they meet Equality and Diversity through: *Having an Equality and Diversity policy which is promoted during staff induction and incorporated in on-going training for delivery of services. *The service is able to offer the services of a male carer, thereby offering choice to people who use the service. *All people who use the service have a full assessment to ensure that a person centred service is provided. Annual Service Review Page 4 of 8 *The AQAA states we ensure that delicate issues are kept confidential, allowing the service user to express their needs without embarrassment or worry. Through the AQAA the service tells us how they have improved in the last twelve months through: *Introducing more thorough pre-admission assessments. *Increased visits into the community. We take our service users into the local community so that they do not feel isolated at the home. *Improved care plans and risk assessments. *More person centred care and maintain high standards within the home. *No formal complaints received. *Decorated downstairs corridor, lounge and dining room. They have moved the location of the dining room following suggestions in Residents Meetings made by people who use the service. The service tells us that all staff are appropriately inducted into the home. All training is paid for by the company and staff training hours also. The AQAA tells us that they have a care staff team of 33 permanent workers and that 11 have attained National Vocational Qualification level 2 in Care or Health and Social Care. We are told that supervision of staff is carried out at least 6 times a year. Supervision is a useful tool to monitor staff development and training needs and ensuring consistency in the staff team. There are regular 1/2 monthly staff meetings at all levels throughout the staffing structure. The AQAA states that all the staff team have received training in prevention and control of infection. The Manager holds an appropriate qualification and has many years of experience in the field. She is not presently registered with us as Registered Manager for the service but is attending for interview on 4 November 2009. The AQAA also tells us that there have been no complaints recorded or received since the last inspection. No safeguarding procedures have been made. We, the commission, have received no formal complaints about the service or any safeguarding alerts since the last inspection visit. Since the last inspection the home has kept us informed through notifications of any issues that have occured that have affected people who live at Beech Dene. They have acted appropriately and referred to other professionals (including healthcare professionals) where required to provide people who use the service with individual support. Annual Service Review Page 5 of 8 The six surveys we received from people who use the service are positive. They tell us that staff treat people well and that they listen and act on what people say. All except one tell us that they know how to make a complaint if they have concerns or are unhappy. People have added the following comments about the service: *Good at looking after my medical needs. Domestics and carers are very kind, in fact all staff are good to me. They work very hard. The dining room is cramped and I cant see very well. It gets hot in the summer. *It is always clean. Mum is always cared for. They could improve by providing more activities daily, e.g. gentle hand, feet exercise. *Meals are very nice and staff always pleasant and willing to help. *They provide a safe place and comfortable rooms. The home needs to be staffed sufficiently when staff are on holiday. The AQAA tells us that in the past three months seventeen care and six senior care shifts have been covered by temporary or agency staff. Nine surveys were returned by staff. Six tell us that they are usually or always given up to date information about the needs of people they support but three say this happens only sometimes Six staff tell us that they receive training relevant to their role but three say they do not. People who use the service tell us that staff are always or usually available when they need them. We ask staff in surveys whether there are enough staff to meet the individual needs of all the people who use the service. One says usually, six say sometimes and two say never. This may be an indication that staff are feeling the pressure of work and the manager will need to address this issue. Staff have made the following comments in surveys: There should be better communication between management/staff. More staff and money needed. The home meet individual care needs for residents and gives support to staff and family members when required. They could improve staffing requirement. Better pay and more staff. The home provides a beautiful, relaxing environment. They should get more staff, better communication between all staff and co-operation. Annual Service Review Page 6 of 8 The home has a person centred care approach to all service users. They have bank staff as people often let the home down by going off sick. Manager is very approachable and helpful. The home is very clean and friendly and the residents well cared for. Employ more staff as we are always short and its hard going with 2 staff on the floor as senior has own work to do. People who responded to surveys tell us that staff are available when they need them. Staff tell us in surveys that staff shortages are increasing their workload and that they consider that more staff are needed. Management must review and address these issues to ensure that people who use the service are not adversely affected. As the AQAA did not give us specific information about how the service has addressed the requirements in the last Key Inspection report, we spoke to the manager who confirmed that risk assessments have been undertaken on all windows in the home and restrictors put in place where required. A Consultant Fire Safety Officer is due to visit the home on 16 November 2009 to monitor fire safety of the building. Individual fire safety assessments are in place. However, we suggested that further consideration be given to peoples ability to move to safe areas or exit the building at night time when they may have received sedation and there are less staff in the building. What are we going to do as a result of this annual service review? We have spoken to the Manager, Lyn Moss, regarding the issues raised in surveys. She confirms that due to staff sickness there have been staffing issues. She tells us that a full time Deputy Manager has recently been appointed; two new care staff (one full time and one part time) are presently going through recruitment/induction. An Activities Co-ordinator (28 hours) has recently been recruited to relieve care staff to carry out their caring role. We have asked the manager to write to reassure us how she will manage the home to ensure that there is adequate staffing to meet the needs of people who use the service. Dependent on her response we may change our inspection plan and bring the next inspection forward. We can inspect the service at any time if we have concerns about the quality of the service or the safety of people using the service. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. Annual Service Review Page 8 of 8 - 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!