Care Home: Beechcroft Residential Home

Similar services:

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

What the care home does well This home provides a comfortable, clean and very well mantained environment which is homely and safe. People are consulted so that their needs and preferences are known and care plans provide staff with relevant information so that they can provide the right support to each person. People are supported to receive appropriate health care and to follow a healthy lifestyle. People are protected by the home`s arrangments for the storage and administration of medication. People choose how they spend their days. There are suitable activities and outings but people`s choice to spend time alone is respected. Visitors are welcomed to the home. There is a good variety of food and menus suit the people in the home. There are good arrangements for handling complaints and comments and for protecting people who live in the home. There is a stable staff team made up of people who receive ongoing training so that they are competent. The manager uses a comprehensive system for assuring the quality of the care. This takes account of people`s comments about the service they receive and makes sure that the high standards of service are maintained. The manager and owners are committed to maintaining high standards and making improvements where possible. What has improved since the last inspection? Since the last inspection all requirements and recommendations following the previous inspection have been implemented. Several areas have been decorated and upgraded. This includes some bathroom facitilites, communal areas and bedrooms. Staff have received further training in various areas relevant to their roles. The home has developed further its links with local churches so that people`s spiritual needs are better met. The policies and procedures have been reviewed and updated so that the home continues to meet people`s needs. What the care home could do better: The manager continues to identify areas where improvements could be made and implements these when necessary. Areas in which development is planned include upgrading parts of the home such as some WCs, further training for staff in death andbereavement and further training for staff in the implications of the Mental Capacity Act. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beechcroft Residential Home Salop Drive Oldbury West Midlands B68 9AG     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 1 2 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Beechcroft Residential Home Salop Drive Oldbury West Midlands B68 9AG 01214292993 01214296995 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) : Mr Anthony Billingham,Ms Carole Jenkins care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Additional conditions: 0 The maximum number of service users to be accommodated is 50. The registered person may provide personal care (excluding nursing) and accommodation for 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, 50. Date of last inspection Brief description of the care home Beechcroft is a purpose built residential care home, providing residential accommodation for fifty older people. The home is privately owned. Beechcroft is situated in a quiet cul-de-sac in a residential area of Oldbury, within close proximity of local shops and public transport. There is a car park adjacent to the home for visitors to the home. The home comprises of two lounge/dining rooms, 48 single bedrooms (11 of which have en-suite facilities), 1 shared bedroom, bathrooms and WCs. The home is of two-storey construction and built in a rectangle providing an inner sheltered courtyard, which has shrubs, garden furniture and has the benefit of a security light. The home is approached either by a sloping pathway or a flight of steps with handrails. Care Homes for Older People Page 4 of 26 Brief description of the care home The stated aim of Beechcroft is to provide an environment in which elderly people may lead as normal a life as they are able, maintaining individuality, dignity and retaining their status as independent adults. Beechcroft aims to promote good care, respect, and independence for every resident whilst responding to the needs and wishes of all. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see how the home is meeting key National Minimum Standards. Before the visit we had received information from the manager about the running of the home and the plans for development. At the inspection we spoke to the manager, staff and some people who live at the home. We looked round the building and into several bedrooms. We looked at the records which the home is required to keep and these include records about the peoples needs and preferences, safety, menus, staff rotas, medication, staff recruitment and training, complaints and minutes of meetings. We looked at the systems which the home has for monitoring its performance and at Care Homes for Older People Page 6 of 26 the results of questionnaires completed by poeple who live there. We used this information to write this report. What the care home does well: What has improved since the last inspection? What they could do better: The manager continues to identify areas where improvements could be made and implements these when necessary. Areas in which development is planned include upgrading parts of the home such as some WCs, further training for staff in death and Care Homes for Older People Page 8 of 26 bereavement and further training for staff in the implications of the Mental Capacity Act. 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 26 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into this home are provided with the necessary information to make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. Evidence: The home provides useful information for people considering moving in and their representives. We saw the service user guide and Statement of Purpose for the home. These are available in large print, should this be required. We sampled files of people living in the the home and found that the necessary assessments had been carried out to determine if their needs could be met. Letters had been sent indicating that their needs could be met and they had been admitted for a trial period. The manager told us that people are invited to make a visit to the home to sample the atmosphere before making a decision to move in. This visit may also Care Homes for Older People Page 11 of 26 Evidence: include taking lunch in the home. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health, personal and social needs are set out in a care plan so that they can be met by staff. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: The manager told us that the information gained from the assessments is used to form the basis of the care plans which are used to help staff know how to provide care and support. We sampled peoples files and found that they contain clear details of peoples needs in various areas and the plans for meeting these. They had been reviewed and updated when changes had occurred. Peoples health needs are included in the plans. The home keeps records of the visits made by various health professionals, such as the twice weekly visits from district nurses. Since the last inspection, the manager has developed links with the local speech and language therapy service and she provided examples of positive outcomes for some people in this area. The staff monitor peoples weights and take suitable actions should they show signs of undesirable loss or gain. Care Homes for Older People Page 13 of 26 Evidence: We saw that the home has suitable arrangements for storing and administering medication. People may hold their own medication should they be capable of doing so. All of the senior staff and some of the night staff are trained in the administration of medication. The systems for storage and the recording of doses administered are checked on a regular basis by the pharmacist and we saw reports of these visits. We saw records of what people in the home prefer to be called. We watched staff talking to people with respect and respecting their privacy by knocking on doors before entering. The bathrooms and WCs are large enough for people to be assisted with the doors closed. People living in this home told us that the staff are kind and helpful. The manager explained the laundry processes which are used to make sure that care is taken not to mix up peoples clothes. There is a separate room for the visiting hairdressers and people told us that they like to have their hair done. These are examples of how people are treated with respect and their dignity is maintained. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples lifestyles in the home match their preferences and suitable activities are arranged. They are encouraged to maintain significant relationships with people in the community and they receive a choice of nutritious meals which meet their needs and take account of their preferences. Evidence: People who live in the home told us that they enjoy a variety of activities. The manager keeps a record of participation for each person. These include exercises, bingo, crafts, quizzes and remisiscence. The home has an activities coordinator, who has recently attended a course on activities for older people. Some activities are led by visiting workers. One person said that she really enjoyed talking about old Sandwell when workers from the library came to the home. There are parties on special occasions and outings on the homes minibus. The manager told us that links with the local Anglican church have been improved and the are regular services in the home for people who wish to attend. There are also regular services for Roman Catholics. Care Homes for Older People Page 15 of 26 Evidence: There are meetings to consult people about the running of the home. The minutes show that these are mainly used to consult people about their preferences in relation to activities and meals. People also told us that staff often ask them about what they would like to eat and do and that changes are made when they make suggestions. Visitors are welcomed in the home and people may take them to their rooms or entertain them in communal areas. The home also has a small sitting room with facilites for making drinks and visitors are welcome to use this. There is a telephone which is available for private use, but some people have chosen to have one installed in their room. The manager and cook recognise the importance of food in peoples lives and take an active role in ensuring that people receive a well balanced diet which suits their tastes. Peoples choices are recorded so that the manager can monitor their nutritional intake. The home has a gold award for providing healthy food options. The home caters for peoples specific needs and preferences. We ate a three course lunch in the home and it was well presented and appetising. Staff who were serving were aware of how much each person liked to have on their plate. The meal was a social occasion, with people chatting to others on their table. People told us that they enjoy their meals and one person said that the food is wonderful. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints. Evidence: The home has policies and procedures in relation to complaints and we saw information for people living at the home and their representatives telling them how to make a complaint if necessary. The manager keeps a record of all complaints received, and the way in which they were handled. We saw that suitable action had been taken in each case and letters had been sent to the people who had brought the issues to her attention. The CSCI has not received any complaints about the home since the last inspection. There are policies and procedures for dealing with allegations or suspicions of abuse. Staff are trained to recognise the possible signs and symptoms of abuse and have been made aware of the action to take. People told us that they feel safe in the home and that staff take good care of them. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a homely, clean and safe environment which meets their needs. Evidence: We toured the building and found all areas clean and well maintained with no unpleasant odours and no obvious hazards. We found the atmosphere relaxed and homely, despite the size of the building. There is a programme of maintenance and recently some new carpets have been fitted and some rooms have been decorated. Lights have been updated in some areas. Plans for the future include the fitting of blinds to a lounge and updating of the remaining WCs. We looked in some of the bedrooms and they were individual in style with personal items. All were well decorated with homely light fittings and curtains. People told us that they were pleased with their rooms. The updated bathing facilties include a wet room and a large bathroom with accessible bath. These are pleasant areas which ensure that staff are able to provide assistance to people whilst maintaining their dignity. There is a hairdressing salon in the home and this was in use on the day of the inspection. People told us that they enjoy having this facility. Care Homes for Older People Page 18 of 26 Evidence: There is a garden area with furniture and people told us that they may sit there in warmer weather. However, we visited on a cold winters day. Most people has chosen to sit in the lounges, which were warm and cosy. There is a shaft lift to provide access to the first floor. The home has procedures and equipment for controlling the possible spred of infection. These include staff using appropriate clothing and gloves when necessary and the provision of hand gel by the visitors signing in book. Recently, the staff successfully contained an outbreak of disease by implementing good practice in this area. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home are cared for by sufficient numbers of staff who are well trained and competent to do their jobs. They are protected by the homes recruitment practices. Evidence: The rotas and the staffng calculator used by the manager show that there are plenty of staff on duty at all times. The turnover of staff is low. When new staff are required, there is a standard procedure for recruitment and selection and this includes taking up references and checking through the Criminal Records Bureau so that people in the home are suitably protected. Staff have a variety of skills and in addition to care staff there are housekeeping, catering, laundry and adminstrative staff. Staff are well trained. They receive appropriate induction training and this is followed by training in aspects of care to meet the needs of the people in the home. The records show that staff have recently been trained in areas such as food hygiene, health and safety, dementia and infection control. Over 70 per cent of care staff have achieved NVQ level 2, with 3 achieving level 3 and 3 of the management team achieving level 4. The manager told us that she has good networks for ensuring that appropriate training is available. Care Homes for Older People Page 20 of 26 Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a well managed home which is run in their best interests and where there are good systems for maintaining the quality of care. Their financial interests are safeguarded and their health, safety and welfare is promoted and protected. Evidence: The manager is suitably qualified and experienced to undertake her role. She provided us with clear information prior to and during the inspection. The home has a robust and comprehensive quality assurance system. This means that the manager is always able to identify areas for potential improvement and to make the necessary changes. The system includes the monitoring of the homes performance against the national Minimum Standards throughout the year so that all standards are covered. There are audits of the training, accidents, complaints and other relevant areas. The manager checks the staffing against a calculator on a monthly basis to make sure that the levels are appropriate and these show that they Care Homes for Older People Page 22 of 26 Evidence: are above the minimum levels required. The manager seeks feedback from people in the home, their relatives and visitors and visiting professionals. We saw the results of questionnaires which had been completed. Polocies and procedures are supplied by the company and are reviewed on a regular basis. The owner visits the home regularly and supervises the manager, taking an interest in any improvements which are required and agreeing the necessary resources. He was in the home on the day of the inspection. There are good systems for making sure that good care is taken of money left with the home for safekeeping. We saw the balance sheets which are signed when money is moved and audited regularly by the manager. There are good systems for making sure that people are safe in the home. We saw risk assessments and records of tests of the fire equipment. The manager supplied us with information about the servicing and maintenance of equipment and the records which we sampled showed that checks are up to date. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 25 of 26 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!