Latest Inspection
This is the latest available inspection report for this service, carried out on 14th April 2010. 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 Lodge Residential Home.
Annual service review
Name of Service: Beech Lodge Residential Home The quality rating for this care home is: The rating was made on: two star good service 2 5 0 3 2 0 0 9 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: Julie Western Date of this annual service review: 1 0 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Frogs Abbeygate Holbeach St Johns Holbeach Lincolnshire PE12 8QJ 01406423396 01406490975 beechlodge@countrycourtcare.com www.countrycourtcare.com Mr Abdulaziz Alykhan Kachra Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users who can be accommodated is 28 The registered person may provide the following categories of service only: Care home with nursing - Code N, 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 Have there been any changes in the ownership, management or the Yes 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 Lodge Residential Home is a large two storey former farmhouse with a purpose built extension. It is situated in farming land in Holbeach Fen approximately three
Annual Service Review Page 2 of 6 Number of places (if applicable): Under 65 Over 65 0 28 None. 2 5 0 3 2 0 0 9 miles from the town centre of Holbeach. The accommodation has 23 single rooms, 20 providing en-suite facilities and 3 double rooms with en-suite facilities. The home is registered to give personal care and accommodation for up to 29 older people who require nursing care. Information about the home including a copy of the inspection report is on display in the entrance hall. The fees confirmed by the manager range from £348 - £650 per week. Charges for hairdressing, chiropody, toiletries, magazines and newspapers are additional to the fees. 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. 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. Any 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; 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 gave us the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a positive service and that they know what further improvements they need to make. The service actively promotes independence, choice and privacy by listening to residents and relatives or representatives and implementing individual requests. Outcomes are ensured through surveys and quality assurance systems. The AQAA states; At Beech Lodge we realise it is through training that our health care professionals gain the necessary knowledge to underpin their practice. Staff are trained, supported and made aware of the importance of celebrating differences and to be familiar with the policy of social inclusion. Staff are also made aware of the ethical, legal and criminal implications associated with discrimination at all levels. Equal opportunities are ensured in the following way, taken from the AQAA; At the moment, all our users of service are of a local indigenous origin, white British, but as a service provider we realise that we may receive into our care people from different walks of life, from multicultural societies and with them diversity of beliefs and values. Staff are made aware through training that to be cultural competent, they need to consult heavily with users of service and their representatives, read cultural packages and leaflets, to gain insights into their lives in order to ensure that all service users have equal opportunities and that they are not discriminated against. Staff are made to realise that if our care is not person centred the people who use our service may be exposed to any of the 8 identified domains of discrimination. Through staff training, given at all levels, at induction, during supervisions, NVQ, home policies and procedures, NMC code of conduct, General Social Care Council Code of Practice and National Minimum Standards, this training has enabled staff to identify variables associated with inequality of care and go on to foster a flexible approach and give care which is socially and culturally competent. Users of service in our care are constantly and continually assessed in order to identify physical, social and cultural variations, recognising diversities in personalities, lifestyles or Annual Service Review Page 4 of 6 functional capacity in order to ensure that the care we give is sensitive to their individual needs. Our statement of purpose is written in English and in a format that can be easily understood by our service users and their families and should we need to translate it to another language, this can be easily arranged. Staff are also aware that we have access to interpreter services. We have a key worker system in place which allows for heavy consultation and discussion and exploring of the individuals family tree and their past with their approval. We find that this system is effective and enables staff to have great insights into the individuals life and that makes care provision easier and person centred. Service users meetings are planned well in advance and for the whole year, so that families are fully aware of dates and times to allow for easy and convenient planning and attending. The AQAA states that various improvements have been made since the key inspection; these include the following; Our statement of purpose is in larger print to make for easier reading. Employment of a more competent training manager has ensured that staff are appropriately supported and are given the necessary training and skills to underpin their practice. Our fund raising activities continue to enjoy great success and more and more families are getting involved. We have acquired profiling beds and more specialist equipment required for prevention and promotion of pressure area management. The newly appointed training manager has already had a huge impact on staff training. A training matrix is out for the whole year. All staff training needs are being met and all staff mandatory training is in dates. What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 5 of 6 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Annual Service Review Page 6 of 6 - 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!
