Latest Inspection
This is the latest available inspection report for this service, carried out on 6th July 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Beech House (Exeter) Ltd.
Annual service review
Name of Service: Beech House (Exeter) Ltd The quality rating for this care home is: The rating was made on: two star good 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: Annie Foot Date of this annual service review: 0 6 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 157-159 Magdalen Road Exeter Devon EX2 4TT 01392215989 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Beech House [Exeter] Limited Number of places (if applicable): Under 65 Over 65 23 23 23 23 Client groups (MD) Mental Disorder and (DE) Dementia (50 years and over). 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 `Beech House is very much a family business. The previous owners have worked at the home for several years, and are now the stakeholders in the limited company that is the current registered provider. The home provides accommodation, care and support for people with mental health problems over the age of 50 years, and for people with dementia over 65 years of age. They do not offer nursing care other than that which the community nursing services can provide, and do not offer intermediate care. On a bus route and close to some local shops, the home is on a main road in a residential area of Exeter, not far from the centre of the city. There is ample on site parking. Accommodation is on three floors. For those who cannot use the stairs on foot, there are stair/chair lifts between floors. The majority of bedrooms are for single
Annual Service Review Page 2 of 6 occupancy, and some have en suite toilet facilities. At the rear, there is a large lawned garden, a patio area with seating, and a bird aviary. The weekly fees were £234-378 at the time of inspection. The fees do not include the cost of chiropody, hairdressing, continence products if not provided by local health services, healthrelated transport costs (to health check-ups, outpatient appointments, etc.), and newspapers. However, the fees include toiletries, most of the organised activities, and transport as well as admission fees for most social outings. Current information about the service, including the latest Commission for Social Care Inspection (now CQC) report, is kept in the homes entrance hall, the lounge, and is also given to prospective residents. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection which took place on 10 July 2008. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in 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 key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and detailed and gave us all the information we asked for. The AQAA tells us that meetings are regularly arranged for residents to express their view of the service. The home recognises that some residents may prefer to express their views individually and try to make sure each person has an opportunity to discuss anything with a member of staff after meetings in private. The AQAA tells us that many of the people living at the home have been there for over 15 years. During the last year 2 new people have been admitted. All new service users are given a contract which includes the fee, their rights and obligations, and the role and responsibility of the provider. The home aims to provide a family run, person centred management approach to ensure the best interest of the people who live there. Over the last year the admission procedure has been improved to include a more detailed needs assessment. Everyone has a care plan which is regularly reviewed with input from the people themselves and a family representative. Key workers are involved in encouraging residents with their interests and taking part in daily social activities. The AQAA tells us that the home encourages complaints and suggestions in order to Annual Service Review Page 4 of 6 improve the service. The complaints procedure has been updated and all staff receive safe-guarding training. No complaints were received in the last year. Staff receive induction and ongoing training. 12 permanent care staff are employed at the home. 2 have achieved an NVQ level 2 or above. The AQAA reports that 45 of staff are working toward an NVQ level 2 or above. 5 staff have left during the year. Over the last year the home has employed more staff on certain shifts as residents needs have changed. The Staff recruitment policy has been reviewed and staff files now hold more in-depth information. The manager has been employed at the home for many years. Plans to achieve the Registers Manager Award are in place. The homes maintenance programme maintains the home to a high standard. Over the last 12 months the home has experienced unexpected levels of expense due to a new central heating system and asbestos treatment to the property. All policies and procedures in operation at the home have been reviewed during the year. The home continues to provide a high standard of care and there is no evidence to indicate that outcomes for people who use the service have changed since the last key inspection of the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 09 July, 2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information
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