Care Home: Beechdene Care Home

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What the care home does well The home is a large adapted and extended building. It has it`s own garden. There are a lot of rooms where people can go in the home. There is also a games/entertainment room with a computer, music and a pool table.The home is clean and gives people a safe and pleasant place to live. People who live there told us, "Beech Dene is very nice place" and "I like living at Beechdene, I have been here for 8 years".Staff members are polite and talk to people with respect. People said the staff are nice and friendly. One person said, "I love it here and (think) the world of the staff and think the world of the manager, very helpful to me".Assessments are completed before people move into the home. People say they have enough information before they move in. They told us they visited before moving in.Care plans are written about everyone who lives at the home. They tell staff how people like to be looked after. People write part of the care plan themselves.People are referred to health care professionals, like dentists, opticians and dieticians. These visits are recorded in their care records.There are a lot of things to do for people living at the home. There is an activities co-ordinator at the home who helps plan trips, activities and events for people. There is a games room with a computer, a playstation, a pool table and lots of other games. People go out and do voluntary work during the day.There are holidays and weekend breaks right through the year.Page 9 of 32Care Homes for Adults (18-65 years)People can have visitors when they want. There are places where they can meet in private. One person told us about her boyfriend who can stay with her.There is a choice of main meals each day. Staff members help people who need it. Everyone we spoke to said they like the meals and the food is good.There have been no complaints in the last year. People said they know who to talk to and how to make complaints.Quality assurance surveys are carried out every month at the home. People are asked what they think of the care and where they live. A report is written about this. People said they can talk in meetings about what they like and what they want to change.There are enough staff so that people are looked after properly. Staff are very friendly and help people.Staff members have enough training and they like working at the home. One staff member said, "I like working here. Job excellent". What has improved since the last inspection? Medication is recorded when it comes into the home and when it is given to people. Records that show this are completed properly.Staff members are given training in keeping people safe from abuse. There is a policy and procedure for this. When we talked to staff they were able to tell us what they should do. What the care home could do better: Some checks and documents are obtained before new staff start working at the home. Some things are not looked at though. This must be done to make sure new staff are safe to work.There are a couple of things that staff must still do to make sure medication administration is safe. They must record temperatures of the places that medication is stored. This is to make sure it doesn`t `go off`. They must have a fridge that only has medication in it. It is not safe for it to be kept in the kitchen fridge. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Beechdene Care Home 29-30 Woodhouse Road Mansfield Nottinghamshire NG18 2AY 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: Lesley Richardson Date: 2 0 0 2 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. They reflect the things that people have said are important to them: 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 Adults (18-65 years) 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. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 32 Care Homes for Adults (18-65 years) Audience Further copies from Copyright 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.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: Beechdene Care Home 29-30 Woodhouse Road Mansfield Nottinghamshire NG18 2AY 01623649351 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) : Mrs Doreen Parkes care home 15 Number of places (if applicable): Under 65 Over 65 15 0 0 2 learning disability old age, not falling within any other category Additional conditions: Thirteen (13) residents shall fall within registration categories LD and LD/E Two (2) named residents shall fall within registration category OP. This category shall cease to exist once those residents leave the home Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 32 A bit about the care home Beechdene is a care home providing long-term personal care and accommodation for 11 younger adults who have a learning disability and 2 named older people. The home is owned by Mrs Parkes and is run as a family business. The home is located in a residential area on the outskirts of Mansfield town centre, close to shops, pubs, the post office and other amenities. The home was opened in 1983 and consists of a former guesthouse combined with a former domestic dwelling. Thirteen of the homes bedrooms are single, and 5 of the bedrooms have en-suite facilities. Bedrooms are located on 3 floors in one part of the home and on two in the other. There is a stair lift on one staircase. The home has an enclosed courtyard area that is well maintained and easily accessible. There is car parking available for up to 7 cars. Fees for the service range from 338 to 408 pounds per week depending on dependency needs. Care Homes for Adults (18-65 years) Page 5 of 32 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. We were at the home for 6 hours and 45 minutes during this inspection. We talked to the assistant managers and staff. We also talked to people who live there. We watched how staff act with people. And, we looked at records and documents. The manager sent us information about the home before we went there. We asked people to fill in surveys for us. An expert by experience also visited while we were there. Care Homes for Adults (18-65 years) Page 7 of 32 What the care home does well The home is a large adapted and extended building. It has its own garden. There are a lot of rooms where people can go in the home. There is also a games/entertainment room with a computer, music and a pool table. The home is clean and gives people a safe and pleasant place to live. People who live there told us, Beech Dene is very nice place and I like living at Beechdene, I have been here for 8 years. Staff members are polite and talk to people with respect. People said the staff are nice and friendly. One person said, I love it here and (think) the world of the staff and think the world of the manager, very helpful to me. Care Homes for Adults (18-65 years) Page 8 of 32 Assessments are completed before people move into the home. People say they have enough information before they move in. They told us they visited before moving in. Care plans are written about everyone who lives at the home. They tell staff how people like to be looked after. People write part of the care plan themselves. People are referred to health care professionals, like dentists, opticians and dieticians. These visits are recorded in their care records. There are a lot of things to do for people living at the home. There is an activities co-ordinator at the home who helps plan trips, activities and events for people. There is a games room with a computer, a playstation, a pool table and lots of other games. People go out and do voluntary work during the day. There are holidays and weekend breaks right through the year. Page 9 of 32 Care Homes for Adults (18-65 years) People can have visitors when they want. There are places where they can meet in private. One person told us about her boyfriend who can stay with her. There is a choice of main meals each day. Staff members help people who need it. Everyone we spoke to said they like the meals and the food is good. There have been no complaints in the last year. People said they know who to talk to and how to make complaints. Quality assurance surveys are carried out every month at the home. People are asked what they think of the care and where they live. A report is written about this. People said they can talk in meetings about what they like and what they want to change. Care Homes for Adults (18-65 years) Page 10 of 32 There are enough staff so that people are looked after properly. Staff are very friendly and help people. Staff members have enough training and they like working at the home. One staff member said, I like working here. Job excellent. What has got better from the last inspection Medication is recorded when it comes into the home and when it is given to people. Records that show this are completed properly. Care Homes for Adults (18-65 years) Page 11 of 32 Staff members are given training in keeping people safe from abuse. There is a policy and procedure for this. When we talked to staff they were able to tell us what they should do. What the care home could do better Some checks and documents are obtained before new staff start working at the home. Some things are not looked at though. This must be done to make sure new staff are safe to work. There are a couple of things that staff must still do to make sure medication administration is safe. They must record temperatures of the places that medication is stored. This is to make sure it doesnt go off. They must have a fridge that only has medication in it. It is not safe for it to be kept in the kitchen fridge. Care Homes for Adults (18-65 years) Page 12 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Lesley Richardson 33 Greycoat Street London SW1P 2QF 02079792000 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.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 13 of 32 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 14 of 32 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 have enough information before moving into the home, which means they are able to decide if they would like to live there. Evidence: All of the people who we received surveys from said they had enough information before moving to the home. We looked at the care records of 1 person who had moved into the home since the last inspection. There was a written assessment completed by the home and the persons parent had also written a detailed account of his likes and dislikes and daily routines. People who returned surveys said, I visited the home before I decided to come and I visitor Beechdene I like is home. The home does not provide accommodation specifically for intermediate care or for rehabilitation purposes. Care Homes for Adults (18-65 years) Page 15 of 32 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 . Staff members have a good understanding of peoples needs, and care records show how people are supported to live as they would like. Evidence: People who commented in surveys said they are able to make their own decisions and choices. We saw this during the inspection and that people are able to do what they want, when they want. One person said she is able to walk to the local shop when she wants to buy things. The expert by experience spoke with another person who said she needs help to cross the road and is then able to catch the bus by herself when she goes out. Everyone we spoke to said they can do what they want when they are at the home, its their choice and the staff help them do this. People we spoke to said staff are nice and one person commented, I like all the staff, theyre nice to me and help me. Care plans for 3 people were looked at as part of this inspection. They show that each person has a plan that gives staff members information about what they need to do to meet the identified needs. Risk assessments, for things like falls and moving and Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: handling, are completed and reviewed regularly. We found the care plans give staff members advice about how to meet peoples needs, and they are written in a good amount of detail. Care plans for care needs tell staff how each person likes to be cared for and what their preferences are, and there were some plans that gave staff a lot of information about people. For example, one person is not able to easily say whether shes happy or not. The care plan gives a good range of examples of her behaviour to show staff when she likes something or not and what she is able to do, like take clothing off if shes too hot. Another persons plan tells staff about how to care for a medical device entering the body through the skin, when the device needs changing and how often dressings are changed. It also tells staff who is responsible for the different parts of looking after this device. People told us during the inspection that they are involved in writing parts of their care plans and they have access to them whenever they want. One person gave us her plan to look at and went through it to show which parts she had completed. She showed us the part she had written and which parts she had taken part in, like the reviews that had been completed. Plans are reviewed every month, even though they dont all need this. We saw that information and changes are recorded, and the plans are rewritten to give staff updated guidance. People are able to make everyday choices about when to get up and go to bed, how to spend their days, whether that is in their own room, in the main lounge/dining area. We saw and listened to how staff members interact with people and found they ask what people would like and how they would like it rather than telling people or giving limited options. Staff members we spoke to know the people they care for and were able to tell us their preferences and how they like to be cared for. Care Homes for Adults (18-65 years) Page 17 of 32 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 . Social activities provide stimulation and opportunities for community links for people living in the home. Visits from relatives and friends ensure continued social contact. Evidence: People living at the home take part in day placement, workshop activities or complete voluntary work during. Most people have a day at home during the week, so that they can carry out household tasks like laundry and cleaning or tidying their rooms. Two people said they had chosen Fridays to do this, so that they could do what they want over the weekend. People are able to go to their rooms alone and their movement around the home is not restricted. We talked to 2 people about their rooms. They both said they are able to spend time in their rooms and showed us around them. Staff support people to take part in housekeeping tasks, which makes sure they are able to develop and keep skills and take responsibility for their home. One person was mopping the kitchen floor Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: during the inspection and told the expert by experience she likes doing this. People living at the home are able to take part in activities, such as swimming and bowling, at local venues, and attend entertainment venues aimed at the general public and their peer group. The 8 people who returned surveys said they are able to do what they want at all times during the week. We talked to 2 people in particular about what they like to do and the expert by experience talked to 3 people. These people told us about their voluntary work and where they spend other time during the week. One person said she goes to a day centre where she uses a computer and would like to get an office job. She told us about the computer in the home, how she uses it and what she uses it for. Other people told us about holidays they take, weekends away and the different transport theyve taken to get there. People are able to go to their rooms alone and their movement around the home is not restricted. We talked to 2 people about their rooms. They both said they are able to spend time in their rooms and showed us around them. Staff support people to take part in housekeeping tasks, which makes sure they are able to develop and keep skills and take responsibility for their home. One person was mopping the kitchen floor during the inspection and told the expert by experience she likes doing this. We saw staff members knock on peoples doors and waiting for an answer before going in. People who live at the home are able to have locks on their doors if they want and about half the people living at the home have these. Staff encourage people to keep in contact with family and friends, and they are able to have people visit them at the home. One person told us about her boyfriend who visits her at the home and spends time there. He accompanies her on holidays, goes with her to visit her Mum and stays at the home with her. The people who live at the home go with staff members on shopping trips and help with food preparation. Snacks are available throughout the day and people, who are able to, can make drinks when they wish. The main meal is served at lunch time and people have a choice of 3 pre-prepared meals that they heat up. Staff and people at the home told us these meals are supplemented with fresh vegetables. We saw staff members asking people what they wanted for their evening meal and letting them know of the wide range of choice available. There is clear information and guidance for people who have specialised diets. For example one person was able to tell the expert by experience about a medical condition that means she needs one of these diets and why its important she gets this. Care Homes for Adults (18-65 years) Page 19 of 32 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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 . Care and medication records are not completed accurately or in enough detail to ensure the health and welfare of people living at the home. Evidence: There is information in care records to show health care professionals, such as specialist nurses, opticians and chiropodists, are contacted for advice and treatment. Plans are updated, and changes about medical needs are written into them. One persons plan tells staff exactly what they need to do to prevent the spread of infection. It also gives staff information about what to do to help the person from spreading the infection. We talked to people during the inspection and they all said they are treated well by the staff. One person who returned a survey said that staff, support me with my needs. Very friendly. Two of the people living at the home showed us their rooms and explained the layout of the home. They said they all have individual bathrooms to use and get the help they need in the way they want. The expert by experience talked to people, who told him that they all have a keyworker who knows their needs, likes and dislikes. Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: Medication administration records (MAR) were looked at for all of the people living at the home. The MAR sheets are completed and there was only one record with any entries missing. Entries for medications that have not been given show the reason for this. Completing MAR sheets has improved since the last inspection. Amounts of medication remaining in blister packs of medication tally with the amount the MAR indicates are remaining. Staff members who are responsible for medication administration have training from the local pharmacist. Stock levels of medications are generally acceptable; no medication had been out of stock and there are no stores of medication nearing its expiry date. There were lots of boxes of paracetamol for people where the pharmacy had delivered additional stock. Staff said this was because if no stock was delivered for more than 3 months the pharmacy would remove the prescription from the MAR sheet. We discussed other ways of making sure people were able to obtain simple painkillers if they needed them, such as the use of homely remedies. Medication that needs to be kept in a fridge is kept in a locked box in the kitchen fridge, staff members said this was the advice given to them by the pharmacist. Medication fridge and storage room temperatures are not taken and there are no records that these are at an acceptable level for the safe storage of medication. We talked to staff about the need to take storage temperatures and how this should be done for fridge temperatures. We also talked to them about why it is important for medication that needs to be kept in a fridge is not kept in the kitchen fridge. We expect staff to be able to improve these areas in safe medication handling without the need for a requirement. Care Homes for Adults (18-65 years) Page 21 of 32 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. 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 know how to make complaints and concerns known and can be confident that these will be listened to. Evidence: All of the people returning surveys said they know who to speak to and 7 out of 8 said they know how to make a complaint if they have to. Everyone we spoke to during the inspection also said they know what to do if theyre not happy about something. Everyone the expert by experience spoke to during this inspection said they are happy living at the home and feel safe there. They were able to give us examples of who they would talk to. The home has a complaints procedure and keeps a complaint log to show how they have looked at and the outcome of complaints that have been made. We were told before the inspection there have been no complaints made to the home in the last 12 months. The assistant manager confirmed this and also told us that any issues or concerns that people who live in the home tell staff are also recorded. We looked at the information that is kept about these and found that issues are dealt with properly and resolved. The staff training folder shows that staff members have received training in safeguarding (adult protection) within the last year. We talked to care staff during the inspection, who said they had received training in safeguarding people. They were able to tell us what should be done if abuse was suspected. Information provided to CSCI Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: before the inspection shows there has been 1 safeguarding referral and investigation in the last 12 months. Care Homes for Adults (18-65 years) Page 23 of 32 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 . The home is clean and provides a safe environment, giving people a pleasant place to live. Evidence: The home is 2 adapted semi-detached houses with an extension situated close to the centre of Mansfield in Nottinghamshire. People living at the home have access to a large number of communal areas, including a fenced garden around the property. The general decor in the home is satisfactory, and it was clean and tidy, with no offensive smells. Everyone returning surveys said the home is clean and tidy and people at the home said the home is clean. People said about their home, it is always tidy and I like room. We looked around the home but found that this was the case throughout the house. There are 2 steps in one corridor that are difficult to see because of the continuous length of carpet that is all the same colour. The expert by experience said he tripped on one step and the inspector didnt notice the second step until a staff member pointed it out. People in the home told us they are used to the steps and know they are there. However, to make sure everyone visiting the home is safe, there should be something to make sure the steps are drawn to peoples attention. The expert by experience walked around the home and said he liked that the owner lived in a flat within the house. He thought this may be why the home felt and looked like a real Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: home. He also like the handles by steps at the front of the house, which makes entering the home safer for people to use without help. Care Homes for Adults (18-65 years) Page 25 of 32 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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 enough staff members with the training and skills to be able to care for people properly. Evidence: The training matrix shows new staff members are given induction training, which includes mandatory health and safety training. One staff member who returned a survey said, when I started the staff was very supported and patient with me, very thorough and carried on with training. Additional training is given to staff so that they are able to properly meet peoples needs. Staff members described training as, Im trained with different programmes right through the year and every year I receive training, up dateing me with new policies and procedures. All training is relevant to my job role. Information in the AQAA tells us that only 6 of the care staff have a National Vocational Qualification in care. There are another 5 staff members completing the course, which will make 61 of staff with the qualification when this has been done. The recommended number of staff with a NVQ is 50 . Everyone we spoke to said staff members are available when they are needed and that they get the care and support they need. Two comments from the surveys were, yes Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: and (staff) support me with my needs. Very friendly and I ove it here and (think) the world of the staff and think the world of the manager. Very helpful to me. People who spoke with the expert by experience told him the staff are friendly and they get on well with their key workers. The expert by experience said he thought that all the staff on duty were friendly and made him feel welcome. He liked the way the staff and the people who live in the home interacted with each other. All of the staff members who returned surveys said they think staffing levels are high enough and were complimentary about working at the home. some comments from the staff surveys are, I like working here. Job excellent, The residents seem happy and pleased with services. I like working here and learning policies and procedures and I love working at Beechdene, and will continue to work hard with staff and colleagues to provide a good service, pass on my experience, skills from training. We looked at recruitment records for 2 staff members employed since the last inspection and they contained some of the recruitment documents required before safe employment. Checks, such as, Criminal Records Bureau, Protection of Vulnerable Adults and 2 references had all been obtained. However, checks that need the employer to do havent all been completed. Looking at gaps in employment history were not done for either person and checking the reason for leaving a care position was also not looked at. We looked at staff supervision records, which show these sessions have been infrequent. The 2 new staff members who started working at the home since the last inspection have only received 1 supervision session each. Although these sessions are recorded and are kept in the staff files. All of the staff members who returned surveys said they regularly meet with the manager and get support from her. Care Homes for Adults (18-65 years) Page 27 of 32 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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 home is a safe place to live and people are asked their opinion so that the home is run in the way they want. Evidence: The manager is also the owner of the home and is registered with The Commission for Social Care Inspection for both those roles. She has experience caring for people with learning disability and has been managing this service for many years. She also has a Registered Managers Award, which is a qualification equivalent to a National Vocational Qualification level 4 in management. The manager was not available for this inspection, but this has not made any difference to the way the home has run or the service people receive. The expert by experience thought that because the owner/manager also lived in the home, this may be why there was such a homely feel. People we spoke with during the inspection told us they often spend time with the manager in the evenings, because thats what they like to do. A quality assurance survey is carried out by the home every month, a report is written and shows the issues that were found. People living at the home and staff members all told us they have regular meetings to talk about any issues and discuss what they Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: think and what they would like to do. All areas that go into running the home are discussed at these meetings over the course of the year and staff said an annual report is completed. We asked the home to complete and return an Annual Quality Assurance Assessment (AQAA) before the inspection. They did this within the time we asked for it and they gave us the information we asked for. Information provided before this inspection shows equipment, like hoists, lifts and firefighting equipment has been serviced or tested as recommended by the manufacturer. We looked at fire equipment around the home; this has been tested within the last 12 months. Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 32 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 Description 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 Description 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 Adults (18-65 years) Page 31 of 32 Helpline: Telephone: 03000 616161 or Textphone : or 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 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. 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