Care Home: Beechmount Residential Home

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What the care home does well The owners have continued to shown their energy and commitment to improving Beechmount for the people who live and work there. The planned environmental improvement to make the home more helpful to people with cognitive impairments have continued. The garden has been landscaped to make it both safe and accessible for people. The Manager has continued to use residents` meetings to discuss any changes that are planned. The staff are committed, caring, helpful and supportive. Staff were seen to treat the people with politeness and sensitivity at all times. There was good communication between the home and families of people who live there. The choice, variety and quality of the meals have continued to be very good. People were overheard telling the cook on the day of the inspection how much they enjoyed their meal. Staff are mindful of people`s personal preferences for food and ensure they have things they like to eat. Good standards of cleanliness are maintained throughout the home for the people who live and work there. What has improved since the last inspection? The amount of one to one activities provided for people in the lounge outside of the group activities have been increased. This helps to maintain people`s interest and engagement. The system for storing Clean clothes has been changed and they are no longer stored openly in the laundry. This should reduce the risk of cross infection. Risk assessment templates are proved to record assessment of any person`s competence to look after their own medication and to ensure that they are safe to do this. However none of the current people living at Beechmount had been assessed as able to do this. Environmental risk assessments had been up dated to ensure any risks that had been identified had measures put in place to reduced the risk where possible for the people living at Beechmount. What the care home could do better: Although there was a clear process for assessing the quality of the service provided at Beechmount a summary of this audit findings had not been provided for the Commission. An accessible toilet, within easy reach of the lounge and dining room, would be helpful, as some people have to go some distance to their own room when they need to use a toilet.Dining chairs with arms for support should be available for people who need one, for their safety and comfort. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Beechmount Residential Home Rousdown Road Chelston Torquay Devon TQ2 6PB     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Rachel Proctor     Date: 2 8 0 5 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 29 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.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Beechmount Residential Home Rousdown Road Chelston Torquay Devon TQ2 6PB 01803605607 01803605870 emma.@southwestcarehomes.co.uk 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) : South West Care Homes Limited care home 25 Number of places (if applicable): Under 65 Over 65 25 25 25 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 0 The maximum number of service users who can be accommodated is 25. The registered person may provide the following category of service only: Care home providing personal car only - Code OP to service users of either gender whose primarycare needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Phisical disability aged 65 years and over - Code PD(E) Dementia - Code DE Date of last inspection Brief description of the care home Beechmount is registered to provide residential accommodation with care for a maximum of twenty-five people who are over the age of 65 and may have a disability or dementia.There is a passenger lift from the ground floor to the first floor. Three rooms on the first floor can only be accessed via a flight of stairs. Four other rooms are reached via four steps.Three of the twenty-two bedrooms are large enough to be used Care Homes for Older People Page 4 of 29 Brief description of the care home as double rooms. Most rooms are en-suite.The home in the Chelston area of Torquay and is close to local shops and facilities. It has a garden with views across the bay.Current fees are #314.23 - #467.18 per week.The most recent inspection report is available in the entrance hall. Care Homes for Older People Page 5 of 29 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: two star good 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: This was a Key unannounced inspection, which took place on 28/05/09 between 10 am and 4 pm. The manager was on duty and remained for the duration of the inspection. At the time of the inspection there were sixteen people living at Beechmount. Time was spent talking to people living at Beechmount. Some of the staff on duty during the inspection were spoken with individually. And three visting relative were spoken with. Two people living at Beechmount had their care followed. This involved speaking to the person, visiting the room they occupied in the home and viewing their care planing records. Other records relating to the management of the home were seen. Discussion with the manager regarding management of the home also took place. Care Homes for Older People Page 6 of 29 Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: Although there was a clear process for assessing the quality of the service provided at Beechmount a summary of this audit findings had not been provided for the Commission. An accessible toilet, within easy reach of the lounge and dining room, would be helpful, as some people have to go some distance to their own room when they need to use a toilet. Care Homes for Older People Page 8 of 29 Dining chairs with arms for support should be available for people who need one, for their safety and comfort. 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 Older People Page 9 of 29 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 29 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with sufficient information to make an informed choice about whether the care and service offered at Beechmount can meet their needs. The way peoples health and personal care needs are assessed should ensure the care they receive meets their needs in a way they would do themselves if they were able. Beechmount does not provide intermediate care. However they do provide short respite stays for people. Evidence: The statement of purpose and service users guide had been revised since the last inspection. This was easily available for people living in the home. The manager provided the revised brochure for the home. This gave information to people about the Care Homes for Older People Page 11 of 29 Evidence: services could Beechmount offer. The manager had introduced a new assessment process for the people living at Beechmount. This was based on a persons strengths. The care plan strengths assessments clearly showed what the person was able to do themselves and what they needed help with. A Tinetti balance assessment tool had been introduced. This enables staff to assess the persons potential for risk of falls. The modified Barthel activities of daily living index assessment tool was also being used to record what the person does. The main aim of the tool was to establish the degree of independence from any help, physical or verbal, however minor and for whatever reason. This will enable staff to establish clearly what the persons self care abilities are and what they need help with. The people whose care was followed had these assessments with their care plan information one had been fully completed the other had been started. The manager advised that the new assessment process had only been recently introduced and they were working toward completing this for everyone at the home. Care Homes for Older People Page 12 of 29 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. People who live at Beechmount have their care given by staff who understand their care needs and they are treated with respect and dignity. They can have confidence that they will be consulted about what is important to them. Administration of medication was safe and reliable. Evidence: Two people had their care followed as part of this inspection. This involved speaking to the person where possible, looking at their care records and seeing the room they were using in the home. One person had been admitted to the home recently the other had been at the home longer than twelve months. Care plans included the persons preferred name and contact details for their next kin. Clear information is also available for health professionals that have been involved in persons care. This included their GP. A record of multidisciplinary team visits and advice was being recorded in the care plans. The care routines are set out in time Care Homes for Older People Page 13 of 29 Evidence: scales showing how the persons care should be provided. The new strengths and abilities care plan had been completed in January 2009 for one person whose care was followed. The care plan clearly showed how staff should manage the persons challenging behaviour when this occurred. Manager advised that staff had received training for managing challenging behaviour and they were using care planning methods recommended by the Alzheimers disease Society. Staff observed caring for this person were skilled at managing the persons verbal aggression. One person living in the home was heard asking a member of staff the same question several times. The staff member responded in a positive friendly way each time the question was asked. This showed that staff understood the person and treated them respectfully. Assessments are an integral part of the care planning process being used at Beechmount. These included manual handling risk assessments, pressure sore risk assessments, risk of falls and nutritional risk assessments. Where risk had been identified this had been followed through in the strengths care plan to show what action staff should take to reduce the risk of the person. Care plans had been reviewed monthly or sooner if the persons needs have changed. An evaluation checklist of the care plans identified any changes each month and these had been signed by the persons key worker. The manager advised that the key workers for the person take responsibility for ensuring that person has things they need and the care plan reflects the current care needs. The manager also advised that where possible people participate in the care planning process. The information in the care plans showed that people had been asked about their personal preferences. These included the type of food they like to eat, the time they like to get up or go to bed and what was important to them. The pre-inspection information provided in the Annual Quality Assurance assessment (AQAA) Stated We are trialling the BASQID (Bath Assessment of Quality of life in Dementia) tool. Our care planning is now based on a model proposed by the Alzheimers Society. The care plans of the people whose care was followed were clear and provided information for staff about the person and what care they needed. The manager confirmed they were trailing the BASQID tool before introducing it as an assessment tool for people with dementia in the home. An example of this was seen during the inspection. The manager advised that 50 of the people living at Beechmount had been diagnosed as having dementia. She further commented that the information so far indicated that the new tool would enable them to further improve the care planning for people with dementia as it enabled them to look at how the dementia was affecting the individual person. Medication records for the two people whose care was followed were checked against Care Homes for Older People Page 14 of 29 Evidence: the records held. The medication records had been signed and dated as the staff had given medication. Stock controll in the medication cupboard was good. A system for returning medication no longer required by people living in the home was in place. A record of medication return to the pharmacy was being kept. The controlled drug book was checked against the medication held. The control drug record book had been completed as required. The manager advised that only staff who had received training for administration of medication are responsible for this. Care Homes for Older People Page 15 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live at Beechmount are given the opportunity and encouragement to make choices about their day-to-day lives. Meal times are a pleasant experience for people who live at Beechmount. Evidence: The manager advised that activities are arranged around the interests people living in the home have said they liked. The care plans for individuals had a record of the things that interested them what they enjoy doing. Care plans included a personal profile for the person, which included information about their families and their previous work. The manager advised that this information enabled the staff to get to know the person better and understand what they enjoy. On the day of the inspection a staff member had organised a bingo session for the people living in the home. Three of the people spoken with said they enjoyed playing bingo. One person was being helped to play bingo by a member of staff. The manager advised that staff organise activities for people on a one-to-one or group activity each day. Good practice was observed, with staff showing interest in peoples personal Care Homes for Older People Page 16 of 29 Evidence: experiences. Some people were thoroughly enjoying bingo, and others were joining in with help. A white-board suggested at the last inspection was being used on the morning of the inspection by the carer helping people to complete a quiz. Those there were actively taking part and appeared to be enjoying themselves. The staff member organising the quiz was skilfully helping the participants to be involved. The pre-inspection information provided by the manager indicated that: - We provide activities twice a day; we take our service users out for walks if they like, we take service users on trips and we have outside entertainers coming in to do exercise, quizzes and craft with them. People spoken with during the inspection said they enjoyed the activities provided for them and they also said they could choose if they wanted to join in or not. The pre-inspection information provided by the manager also indicated that: - We have increased the amount of activities carried out with the service users, more trips have been arranged and more one to one activities have been carried out. We are trialling use of a Nintendo Wii, both for general fitness, but also for cognitive exercise. The manager said the Nintendo Wii was in the lounge. She commented how much people who had used it had enjoyed taking part. This was not being used during the inspection as other activities had been planned for people. Peoples preferred routines had been discussed with them and recorded in their care plans. These included the time they liked to get up or go to bed, the type of food they liked and the activities they enjoyed. Two communal areas were provided for people to use this means that people have different areas to use if they do not wish to take part in the activities provided for them. Both of these areas were being used during the inspection by people living in the home. The lunch time meal observed was unhurried with people eating their meals at their own pace. People were being given choice regarding the vegetables they liked with their meals. One person said they did not like parsnips and staff remembered they did not like them. Another person liked the staff to cut their food for them to make it easier for them to eat. Staff asked this person if they would like their food cut up before doing this giving them the opportunity to change their mind. People who were asked said they were pleased with their food. Fruit was freely available in the dining room. Records were being kept of food eaten. The cook came to the dining room after the first course, to see if people were managing their food and enjoying it. People were telling her how much they had enjoyed their meal. The manager advised that they aim, to make meal times a pleasant experience for people living at Beechmount. Care Homes for Older People Page 17 of 29 Care Homes for Older People Page 18 of 29 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. People who live at Beechmount can have confidence that any concerns they have will be dealt with sensitively by the staff team at Beechmount. Policy, procedures and practices of the staff team at Beechmount should protect people. Evidence: South West Residential Homes Ltd have provided an up dated complaints procedure to reflex the changes in the Commission. This was displayed in the entrance hall, and included in information given to people who are new to the home. The pre-inspection information stated that residents are given a room folder on admission and this includes a copy of the complaints procedure for them to keep in their room. This was found to be the case when individual rooms were visited during the inspection. Neither the home nor the Care Quality Commission (CQC) had received any complaints. The Manager said that she keeps information of any minor concerns. This information was being kept in individual care plans for people during this inspection. This information recorded the actions taken to address the persons concern. People spoken with during the inspection knew who to speak to if they had any concerns. The last entry in the complaints log book was 2006. The manager and the organisation have demonstrated that they can deal properly with Care Homes for Older People Page 19 of 29 Evidence: any allegation of abuse within the home. The manager confirmed that the homes staff have received training in the Protection of Vulnerable Adults procedure. This was backed up by the records of training being kept for staff in the home. Locally issued policies and procedures in relation to Adult protection were provided for staff reference. This means staff would have information available about what to do to protect people. Care Homes for Older People Page 20 of 29 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. Beechmount is clean, comfortably furnished and homely and provides a pleasant environment for people who live there. Evidence: As part of this inspection a tour of the home was completed. Some individual rooms were entered. Communal areas were visited and disabled access bathrooms were seen. The pre-inspection information stated. We continue with our refurbishment program. Substantial amounts of new furniture have been provided, and several rooms redecorated. The gardens have been landscaped with a circular walk, and stimulating features. Some of the rooms entered during the inspection had been redecorated and new furniture provided. The manager advised that the refurbishment programme was continuing to improve the home for the people who live there. People asked said they liked the room they had in the home. Peoples individual rooms entered had been personalized with items of that persons choice. The garden area had been landscaped to enable more of the people living at Beechmount to have access to the garden area. The garden was wheelchair accessible and a circular walk had been put in for people to use. The manager advised that she hoped people would be able to use this area more in the better weather. Care Homes for Older People Page 21 of 29 Evidence: There was a small bathroom with a hoist, and an accessible shower, giving choice to people. There was not an accessible toilet for people with physical disabilities. The manager advised that people who need to be hoisted return to their bedrooms, where they may use a commode. Most bedrooms are en suite, but not all the people living at Beechmount can use these. The laundry was small. The manager had changed the way clean clothes were stored in open baskets on shelves in the laundry. Clean laundry was no longer being stored in the laundry. The manager advised that personal clothing was returned to people after it was laundered. Staff observed during the inspection were following good infection control practices. Gloves and aprons were provided for staff use. Infection control policys were in place for staff. The pre-inspection information indicated that seventeen staff had completed infection control training. The home was fresh and clean in all areas visited during the inspection. A deodorizer system was being used in the communal areas of the home. Care Homes for Older People Page 22 of 29 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. People can have confidence in the staff who care for them. Recruitment practices are good and training provided ensures that staff are skilled and competent as well as caring. Evidence: A duty rota was provided, which showed the staff on duty and in what capacity they were employed. The rota showed that more staff were on duty at peak times. The manager advised that a senior carer leads each shift during the day and they were responsible for ensuring the care needs of the people at Beechmount are met. The senior carer on duty was completing peoples plans of care during the inspection. They advised that they also up dated peoples care plans if there had been a change. They were also contacted a GP for one person in the home who had become unwell to request a visit. The pre-inspection information stated. We ensure that we have adequate staff on duty at all times in line with the residents forum model. People spoken with during the inspection said staff were kind and helpful to them. The way staff were being deployed at Beechmount was meeting the peoples needs. Three staff files were viewed during the inspection. These showed that the manager has ensured safe recruitment practice. Staff had an application form, proof of identity and a record that a police check had been completed prior to them starting work. One Care Homes for Older People Page 23 of 29 Evidence: staff member who had started work at the home recently said they had been supported by the manager and other senior staff when they started work. The preinspection information indicated: We carry out POVA and CRB checks on ALL staff BEFORE they commence work. We have a very robust recruitment process. This was found to be the case during the inspection. The pre-inspection information provided in the homes (AQAA) Annual Quality Assurance Assessment indicated that ten of the fifteen staff employed had achieved an NVQ level 2 or above in care. This information also stated that Staff are trained to a higher level and are encouraged to continue with this. Staff spoken with during the inspection said they had good access to training that helped them do their job well. One staff member whose file was viewed was completing a dementia care course at Exeter University. Another staff file viewed was for a senior carer they had completed an NVQ 4 in care. All the staff whose files were viewed had completed a managing challenging behaviour course. The manager advised that she had accessed information from the Alzheimers disease society to help improve the staff understanding of caring for people with dementia. The information seen during the inspection shows that the management team at Beechmount are committed to ensuring staff have the skills and training to provide care for people living at Beechmount. Care Homes for Older People Page 24 of 29 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager ensures staff have access to information about the conditions and diseases associated with old age. She was approachable and ensures staff have clear lines of accountability with in the home. The home provided a safe, secure environment where peoples safety and well-being was respected and maintained. Evidence: The manager was registered with the Commission as registered manager of Beechmount in April 2007. She has worked in Older Persons care homes for over six years, starting as a care assistant and then becoming a senior carer. In July 2006 she was appointed deputy manager at Beechmount, and since the registered manager left in September 2006 she acted as manager. Care Homes for Older People Page 25 of 29 Evidence: Staff working in the home during the inspection and people living there were complimentary about the manager. They reported that she was approachable and helpful to them. There were clear lines of accountability in the home and with the responsible individual who supports the manager. How the quality of the service was monitored was discussed with the manager she advised that people are kept informed of any changes and their views sought. The information provided showed that staff were able to influence discussions about the service to make improvements. A template list detailing how South West Care Homes ltd processes their Annual Quality Assurance Process was provided. This showed that audits carried out include; care practice, the environment and Health and safety. Questionnaires are also sent out to residents, next of kin and visiting professionals. This indicated that a report would be produced to summaries the findings of the audit. This shows there is a system in place for monitoring the quality of the services provided. However the Commission had not received a copy of this report at the time of our inspection. The manager advised that those people who are able are encouraged to manage their own financial affairs as long as possible. One person whose care was followed had a relative helping them with their financial affairs. The care planning system in place enables staff to assess the persons ability and risk for managing their finances. Staff spoken with during the inspection said they felt supported to do their work and had access to training. They said the manager and senior staff were approachable and helpful. The manager confirmed there was a system for regular supervision for staff in place. Records of accidents and incidents were being kept and completed appropriately. The manager or the senior person in charge keeps the Commission informed of any untoward incidents that adversely affects people living at the home. The fire log book was inspected and noted to be in order, staff had received fire training. Health and safety checks are completed to ensure safety of the people who live and work at Beechmount. Care Homes for Older People Page 26 of 29 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 27 of 29 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 1 21 An accessible toilet, within easy reach of the lounge and dining room, would be helpful, as some people have to go some distance to their own room when they need to use a toilet. Dining chairs with arms for support should be available for people who need one, for their safety and comfort. A copy of the Quality Audit summary report should be provided for the Commission. 2 3 22 33 Care Homes for Older People Page 28 of 29 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. 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. 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