Care Home: Beech House

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What the care home does well People are only admitted to Beech House following a pre admission assessment. This makes sure the home can meet their needs. Care plans are individual and detailed and contain good information required by staff to provide care and support to people who live at Beech House. Medication administration, recording and storage is in line with good practice. People spoken to were happy with the care provided at the home. Observations of staff interaction with people living at the home were professional at all times. Staff were heard to speak politely and respectful to people throughout our visit. The home is well maintained providing a comfortable place for people to live. What the care home could do better: We did not make any requirments at this visit. We did suggest that the manager could have considered that the respite admission self medicates if they are assessed as being able to do so. This would promote their independance as the intention is that the person conerned will be returning to live in their own home. Random inspection report Care homes for older people Name: Address: Beech House Wollerton Market Drayton Shropshire TF9 3NB two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Karen Powell Date: 0 3 0 2 2 0 1 0 Information about the care home Name of care home: Address: Beech House Wollerton Market Drayton Shropshire TF9 3NB 01630685813 01630685014 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ash Paddock Homes Limited care home 54 Number of places (if applicable): Under 65 Over 65 10 54 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users to be accommodated is 54. The registered person may provide personal care with nursing 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) 54 Dementia - over 65 years of age, DE(E) 10 Date of last inspection Brief description of the care home Beech House is registered to provide nursing and personal care for a total of 54 older people, of whom ten may have dementia related illness. The home is owned by Springcare Ltd, Ash Paddock Homes the Managing Director being Mr Lee Cox. The home is located in a rural setting within a large extended country house in the village of Wollerton near Market Drayton. It is set in its own grounds, which are well Care Homes for Older People Page 2 of 10 Brief description of the care home maintained, and all bedrooms have lovely views of the surrounding countryside. Due to its location, there is limited public transport to and from this home. Accommodation is offered in either single or double bedrooms, some of which have en suite facilities. Some bedrooms are provided on the ground floor, and the remainder are accessed by a passenger lift onto the first floor. The home does not have a separate unit for people with dementia related illness. These individuals share their living accommodation and access the communal areas alongside the rest of the residents in the home. Springcare Ltd makes the services of Beech House known to prospective residents in their statement of purpose, and its brochureservice user guide. Weekly fees range from a minimum of GBP450.00 to GBP650.00. Additional charges to service users are for hairdressing, toiletries, and newspapers. The reader may wish to obtain more up to date information from the care service about this matter. Care Homes for Older People Page 3 of 10 What we found: We carried out an unannounced visit to the home to meet the new manager and to monitor the homes progress since our last inspection in August 2009. We looked at three peoples files including pre admission assessments and care plans. These people had all moved in to the home since our last visit. One persons file we looked at was on a respite visit, this means that they are staying in the home for a short period of time. We found that pre admission assessments had been carried out in all cases and that care plans had been generated. All of the pre admission assessments and care plans were detailed and described the care needs of the individuals and how they should be met by staff. Care plans were reviewed and in one case it was evident that the home is working closely with other health care professionals with regard to pain control management. Medication, administration, recording and storage were checked for the three peoples care records we looked at. These were found to be satisfactory. We did discuss with the manager whether she had thought about the possibility of the respite person self medicating, as the plan is for this person to return to their own home. There was no reason why this could not have been promoted, following assessment of their ability to safely manage their own medication upon admission. The manager acknowledged this point. The manager told us some training for staff has taken place since her appointment and that training for fire and moving and handling is booked for this month. Although there are some staff vacancies at the home we are confident these are being covered with the homes bank staff. Vacancies are once again being advertised in an attempt to fill the posts. The home was clean and tidy and the manager reported there had been no formal complaints since her appointment. What the care home does well: People are only admitted to Beech House following a pre admission assessment. This makes sure the home can meet their needs. Care plans are individual and detailed and contain good information required by staff to provide care and support to people who live at Beech House. Medication administration, recording and storage is in line with good practice. People spoken to were happy with the care provided at the home. Observations of staff interaction with people living at the home were professional at all times. Staff were heard to speak politely and respectful to people throughout our visit. The home is well maintained providing a comfortable place for people to live. Care Homes for Older People Page 4 of 10 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 13(4) Beech House systems and 25/06/2009 procedures need to be further improved so that all equipment staff use whilst caring for people using the service is accounted for and monitored so that it is used safely, especially with regard to bedrails. This will ensure people working for and using the service can be confident care needs will be met safely. Two immediate requirement notices issued at the time of the home inspections with regard to bedrails on 03/02/09, and 11/02/09. 2 8 12 People living at Beech House 25/06/2009 must receive the care they need by competent staff that deliver necessary care to a consistent standard. Care plans must be kept under regular review by the home management team to ensure they contain all relevant details that ensure staff have the right guidance and paperwork to account for peoples needs and how they are met. This will make sure any alterations in peoples Page 6 of 10 Care Homes for Older People Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action circumstances will be addressed and staff will be working to care plans that reflect the changes in the care that individuals need to keep them safe and well. 3 9 13(2) The records of the 25/06/2009 administration of medicines for the people who use the service must be robust and accurate to demonstrate that all medication is administered as prescribed. (Previous timescales of 19/04/08 and 20/06/08, 30/09/08 not met.) A quality assurance system must be implemented to assess staff competence in their handling of medications. Appropriate action must be taken when discrepancies are found, to ensure that all medicines are administered as prescribed and this can be demonstrated. 4 9 13(2) Staff who administer medication must be trained and competent and their practice must follow current written policies and procedures to ensure that residents receive their medication safely and correctly. (Previous timescales of 19/04/08 and 20/6/08, 30/09/08 not met) 25/06/2009 Care Homes for Older People Page 7 of 10 Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Medicines must be administered at the correct time and dose, as prescribed by the clinician and records must accurately reflect practice. 5 15 16(2)(i) Beech House needs to improve its systems to ensure the provision, timing and organisation of meals can demonstrate all dietary needs of people living at the home are being met to keep them healthy and well. 25/06/2009 Care Homes for Older People Page 8 of 10 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 9 of 10 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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