Latest Inspection
This is the latest available inspection report for this service, carried out on 18th September 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 Beechcare Care Centre.
Annual service review
Name of Service: Beechcare Care Centre The quality rating for this care home is: The rating was made on: two star good service 0 2 0 9 2 0 0 8 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: Susan Hall Date of this annual service review: 1 3 0 8 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Darenth Road South Darenth Dartford Kent DA2 7QT 01322628000 01322628001 beechcare@fshc.co.uk www.fshc.co.uk Four Seasons Beechcare Limited (wholly owned subsidiary of Four Seasons Health Care Limited) 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 physical disability Conditions of registration: The maximum number of service users to be accommodated is 74 The registered person may provide the following category of service: Care home with nursing (N) to service suers of the following gender Either whose primary care needs on admission to the home are within the following category ; Old age not falling within any other category (OP) Physical disability (PD) 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 7 Number of places (if applicable): Under 65 Over 65 0 74 74 0 0 2 0 9 2 0 0 8 Beechcare Care Centre consists of two large, detached single storey buildings, which are closely adjacent to each other. Beechcare is a forty-eight bed unit for older people with nursing care, and the second building is the Peter Gidney Unit. This provides care for twenty-six younger adults with physical disability and nursing needs - particularly including neurodisability. The home is owned by Four Seasons Healthcare, who have a number of care homes across England and Scotland. It is situated in its own extensive grounds in a rural setting, but close to the town of Dartford, with all the usual town amenities and shopping areas. The surrounding gardens are attractively maintained, and overlook the countryside. The home can easily be reached via the M20, M25 and M26 motorways. Most bedrooms are for single use, and all bedrooms in Beechcare (and some in the Peter Gidney Unit) have en-suite toilet facilities. There are spacious communal areas in both buildings. Fee levels are set according to the individually assessed needs of each resident. There are additional charges for items such as hairdressing, chiropody and newspapers. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The Inspector reviewed all the information that the Commission has received, or asked for, since the last Key Inspection in September 2008. This includes: Formal notifications about things which have happened in the service, which the care home is legally required to send to CQC. The Annual Quality Assurance Assessment (AQAA), which was sent in by the service. AQAA is a self assessment that focuses on how well the home is meeting outcomes for people who live there. It also provides detailed information about how the home is running. Information about any concerns or complaints; or referrals to the Social Services Safeguarding Adults department. Details from the last key inspection and report. Relevant information obtained from other organisations. Information obtained from phone calls and letters received since the last inspection. What has this told us about the service? The last inspection report shows that residents feel positively about the home and the care they receive. We have not received any adverse information about the home during the past year, and the manager has reliably informed us of any changes or incidents occurring in the home. The AQAA has been well completed, and it provides us with up to date information about how the home is progressing. The manager and staff meet regularly with residents and relatives, and changes have been implemented as a direct result of listening to their views. Some of these changes include the following: changes to menus; improving the rear garden to make it more user friendly for wheelchair users; increasing the numbers of care staff on duty during the evenings; improving the quality and quantity of the bed linen; and providing more trips out of the home. People enquiring about the home are invited to view the facilities available, and can stay for a meal and meet other residents if they wish to do so. This allows people the time they need to make a decision. Admissions are for an initial trial period of one month. The company have produced information about the home in a CD format as well as in writing, and can have the information made available in different languages on request. All residents have a comprehensive assessment prior to admission (called the Care and Health Assessment Profile), and this ensures that person centred care is at the heart of care planning. Care plans include all aspects of daily living such as personal hygiene care, nutrition, mobility, medication and social activities. They are detailed documents, which enable Annual Service Review Page 4 of 7 the staff to appreciate residents different preferences in how their care is delivered. The nursing staff ensure that appropriate referrals are made to other health professionals, such as GPs, dietician, and occupational therapist. A physiotherapist visits the Peter Gidney Unit several times per week, and is assisted by a physio assistant on the staff. Medication is administered competently, and monthly audits are expected to show full compliance with the required standards. Changes have been made in regards to medication storage as a result of the last inspection. The home has a wide variety of activities available for residents in both units. The activities organisers discuss forthcoming programmes with the residents to ensure that they match their expectations. As well as providing in-house activities, the staff arrange outings for small groups of residents, or on a one to one basis. These have been increased during the last year, and include theatre trips, and evening and weekend trips. Some residents also visit external groups and clubs, such as the stroke club. Providing good quality food is an important part of the ethos of the home, and the chefs regularly meet with the residents to discuss the catering, and to ensure that individual likes and dislikes are taken into account. The food is home cooked, and there is plenty of choice each day. Snacks and drinks are always available, and are actively offered during the evenings. The home has good procedures in place to ensure that any concerns or complaints are taken seriously and are properly addressed. The manager encourages feedback on a daily basis, and has a daily presence in the home. This enables residents or relatives to be confident that they can speak with her at any time about any issues which arise. Minor concerns are logged by the nursing and care staff, and means that any patterns of poor practice can be quickly identified and dealt with. The home is well maintained, and kept clean in all areas. It provides a pleasant and comfortable environment for the residents. There is an annual programme of refurbishment; and ongoing health and safety checks to identify any areas of risk. Residents are able to bring in their own items to personalise their rooms, and are involved in discussions about any decor changes. A number of alterations have been carried out during the past year, including improving external steps and lighting, and providing an additional hand rail for promoting safety. Major improvements have been made with providing accessibility to the rear garden. The staff work well as a team under the leadership of the manager. There are good recruitment and induction processes in place, and staff training has been further developed during the past year. This includes more staff studying for NVQ training, which ensures staff competency, and gives them more confidence in their abilities. The manager is continuing to further her own training, and to keep up to date with changes in legislation. She is supported by the companys regional manager, and also by meeting with other home managers from within the company. She liaises with residents and relatives, so that they know that their views are of the utmost importance, and will be taken into account with any changes being implemented in the home. Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? The Commission is confident that this home is continuing to operate to a good standard, and we will continue to monitor the home through ongoing processes. A key inspection will be carried out by 2nd September 2010. However, 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 6 of 7 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:
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