Care Home: Beechville Care Home

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Annual service review Name of Service: Beechville Care Home The quality rating for this care home is: The rating was made on: two star good service 2 4 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Stoddart Date of this annual service review: 2 3 0 2 2 0 1 0 Annual Service Review Page 1 of 8 Information about the service Address of service: 653 Chorley New Road Bolton Lancashire BL6 4AG 01204467480 01204467481 Melanie.Broadbent@mha.org.uk www.mha.org.uk Methodist Homes for the Aged Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 47 0 0 16 The registered person may provide the following category of service only: Care home with nursing - Code N To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 16) Dementia - Code DE (maximum number of places: 47) The maximum number of people who can be accommodated: 63. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service A national company called Methodist Homes for the Aged owns Beechville. Beechville is situated on a main road on a bus route and is close to the motorway network. It is not far from Bolton Town Centre. It is a detached purpose built two storey building set in its own grounds with very pleasant, spacious gardens. There is plenty of car parking to the front of the home. The home is divided into four wings with 63 single bedrooms in Annual Service Review Page 2 of 8 2 4 0 2 2 0 0 9 total. All the bedrooms have an adjoining toilet and shower. A passenger lift provides access to the upper floor. There are dining and lounge areas on each wing and each floor is provided with bathrooms and toilets. The home is registered to care for people who have nursing,social and dementia care needs. The weekly charge for accommodation and services is between five hundred pounds to five hundred and twenty pounds. Additional charges are made for hairdressing, personal toiletries, private chiropody services, magazines and newspapers. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? The annual service review for Beechville Care Home included the following: An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the manager has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations and what other people have told us about the service. What has this told us about the service? The provider sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing a good service. They recognise that they are striving to make further changes as a result of listening to people. No surveys were received from people who use the service or from staff at the time of this report. The service obtains the views of the people they care for via annual resident satisfaction surveys, regular individual reviews of the residents care plans and regular resident and relative meetings. As a result of listening to the people the home has introduced a broader range of activities and therapies, including a full seven day programme, which includes massage, reflexology and more individualised personal activities. The home are continuing to develop more reminiscence sessions and have worked on developing more of a natural environment with opportunities for residents to experience plants, animals and children. In response to the residents feedback improvements have been made to the catering by offering more choice, well presented meals and a better mealtime experience. There is a dedicated Chaplain who provides regular services and the home liaises with various local churches to provide Annual Service Review Page 4 of 8 opportunities for worship for various faiths and denominations if and as required. An activity co-coordinator is employed who focuses entirely on providing the opportunities and facilities for social care. She is assisted by a volunteer support group who take an interest in individual residents as well as organised activities. The service has an equal opportunity policy, which sets out their approach and ethos in relation to fairness, diversity and anti-discrimination. Other key policies are available to promote freedom from harassment, protection from abuse and cultural, ethnic and religious needs. Thus ensuring the residents are treated fairly and protected from abuse. Information on the home is provided in their statement of purpose and service user guide. This give full details about the homes facilities and services, objectives, accommodation and staff. The AQAA reported that all residents receive a residential care agreement covering all the terms and conditions of living in the home. A full assessment of the residents care needs, abilities, interests, health and spiritual needs is carried out by a trained manager prior to admission, involving the resident and representatives. Thus ensuring the admission is appropriate. Each resident has a care plan, which is drawn up with them and their representatives. They are allocated a key worker on admission (who is a member of staff who is made available to make sure they settle in their first few weeks and thereafter). Short stays for prospective residents are encouraged to assist them in making a decision if they wish to live there. The AQAA reported that care plans contain risk assessments and action to be taken with regard to tissue viability, nutrition, continence, personal hygiene and risk of falls. Thus ensuring the residents are kept safe and well. Residents are able to have access to specialist medical, nursing, dental, pharmaceutical, chiropody and therapeutic services and care from hospitals and community health services. Residents are also able to maintain the services of their usual GP or be registered with a GP of their choice. The AQAA reported that he home follows a detailed medication policy, which ensures that residents are able to receive their prescribed medication in accordance with medical instructions. Where possible, residents are encouraged take responsibility for their own medication within a risk management framework. Staff responsible for the administration of medication have appropriate, accredited training and undergo an inhouse competency assessment. This ensures medication is delivered safely. The AQAA reported that all residents are treated with respect and dignity and staff address them in a respectful manner particularly when delivering personal care. As part of their care plan, residents are asked about their end of life wishes and these are recorded. The AQAA reported that these are considered as being of the utmost importance and staff and relatives wishing to offer comfort and support during this time are enabled to do so. Overnight facilities are available to relatives or friends who wish to remain close to a relative during their final days. Annual Service Review Page 5 of 8 The AQAA reported that there is a clear complaints policy, which is advertised in the home. Residents are encouraged to use it for any concerns which cannot be immediately resolved by the staff. The AQAA reported that complaints are responded to fully and they aim to satisfy the complainant as quickly as possible. The AQAA reported that no complaints have been received by the service and none by the Commission since the last inspection. The AQAA reported that the service has a robust protection of vulnerable adults policy and procedure for dealing with any allegations or suspicions. There is a whistle-blowing policy, which has two free phone confidential 24 hour lines (one for staff and one for residents) both run by external agencies. Staff are trained in abuse awareness and attend the local authority adult protection teams training. The service follows the local adult protection policies and processes to ensure their residents are kept safe. The service has produced guidance on the Mental Capacity Act to ensure that residents rights are respected, their views are heard, decisions are not made for them and incapacity is not a barrier to good care. The manager was contacted and confirmed that no Deprivation of Liberty applications had been made at this time. These applications are made for people who need help to make decisions regarding their welfare. The AQAA reported that sufficient staffing levels are maintained to meet the needs of the residents. The AQAA reported that the ratio of National Vocational Qualifications (NVQ) qualified care staff is currently 91.33 . There is a comprehensive recruitment process to make all the necessary checks for potential staff, to ensure they are suitable for employment an to keep residents safe. All staff are properly inducted through a programme in line with the Skills for Care Foundation guidelines. Staff training is provided in all mandatory areas such as moving and handling to ensure they are skilled to carry out their roles safely. Senior staff are encouraged to participate in a specially designed management training programme. Training is monitored regularly to ensure staff have the opportunity to develop personally in all areas of care and support. Staff are supported via annual appraisals and regular supervision. The AQAA reported that the home was purpose-built with design features to provide a comfortable, safe and attractive environment. The building enables them to provide small group living, en suite toilets/showers, specialist baths, specialist beds, wide corridors, handrails, grab rails and the use of colour and fabrics to aid orientation and comfort. Bedrooms are large and provide all necessary furniture and facilities for the residents comfort, safety and privacy. The communal areas are large, well decorated and comfortably furnished. An annual repairs and renewals plan is in place to ensure the home is kept to a good standard. Residents are encouraged to bring in their own furnishings and personalise their rooms. The AQAA reported that all certificates for services, such as gas are in date. Thus providing a safe environment. The AQAA reported that the manager has considerable experience of management in the care sector, is a qualified Registered General Nurse and is registered with the Annual Service Review Page 6 of 8 Commission. The service does not generally handle residents money or finances, however the AQAA reported they have detailed systems in place to control and record all transactions if there is a need. The home follows a comprehensive accident reporting system and regularly reviews take place, which aim to reduce and prevent further accidents. The service continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? The Care Quality Commission will continue to monitor information about this service and will carry out an inspection when required. We can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using it. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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