Care Home: Beechwood Residential Care

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What the care home does well Staff at the home treat residents with dignity and respect and residents have access to a full range of healthcare support. The home provides a homely and welcoming environment and residents told us that they were happy at the home. Meals in the home are good and offer a choice at meal times and there is a varied diet. Residents told us that the food was good. Visitors to the home are made welcome and there is a flexible visiting routine. Residents are offered choice as much as possible and are encouraged to make their own decisions about how they spend their time. The home supports staff to obtain recognised qualifications and staff are committed to their role and work well together as a team. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Beechwood Residential Care 65 Portsmouth Road Woolston Southampton Hampshire SO19 9BE Lead Inspector Mick Gough Unannounced Inspection 19th June 2008 10:00 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Beechwood Residential Care Address 65 Portsmouth Road Woolston Southampton Hampshire SO19 9BE 02380 436880 02380 436880 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) G & A Investments Projects Ltd Mrs Linda Kay Sansome Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Old age, registration, with number not falling within any other category (21) of places Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th April 2007 Brief Description of the Service: Beechwood House Residential Home cares for and supports elderly people with dementia. The Registered Providers are G & A Investment Projects LTD. Beechwood House is situated in Woolston, which is a suburb on the outskirts of Southampton, and is situated in a residential area and is close to local community facilities. At the time of the visit fees at the home ranged from £401 – 514.50 per week, depending on the type and level of support required. An up to date scale of fees can be obtained by contacting the home. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience Good quality outcomes. This report details the evaluation of the quality of the service provided at Beechwood Residential Care and takes into account the accumulated evidence of the activity at the home since the last key inspection of the service, which was carried out in April 2007. The inspection took into account; the previous key inspection report and information from what other people have told us about the service. Comment cards were sent out to residents and staff at the home. Unfortunately at the time of writing this report no responses had been received back. Included in the inspection was an unannounced site visit to the home, which took place on the 19 June 2008. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and users of the service. We also had the opportunity to view comment cards from residents, visitors and health care professionals that had been returned to the home as part of the home’s quality assurance assessment. It was also possible to speak with 5 people who live in the home, 3 members of staff and the home’s manager who assisted the inspector throughout the visit. The home is registered to provide support for 21 residents and at the time of the inspection there were 17 people living at the home. What the service does well: Staff at the home treat residents with dignity and respect and residents have access to a full range of healthcare support. The home provides a homely and welcoming environment and residents told us that they were happy at the home. Meals in the home are good and offer a choice at meal times and there is a varied diet. Residents told us that the food was good. Visitors to the home are made welcome and there is a flexible visiting routine. Residents are offered choice as much as possible and are encouraged to make their own decisions about how they spend their time. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 6 The home supports staff to obtain recognised qualifications and staff are committed to their role and work well together as a team. What has improved since the last inspection? What they could do better: There were 2 requirements made as a result of this visit and other points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report. General observations were: The home had an effective care planning system in place, however there was information in one residents plan that the individual could be verbally aggressive and stated that “she could raise her stick”. However there was no further information for staff on how the resident should be supported if this took place. Also the recording in care plans could be improved, as daily recording did not always provide written evidence that care has been delivered effectively. The home will need to get confirmation that the controlled drugs cabinet in use at the home meets the legal requirements as laid down in the Misuse of Drugs (Safe Custody) Regulations 1973. One of the resident’s rooms (no 6) was quite dark and did not benefit from natural light and this was due to a large tree that was blocking light into the room. In order to allow natural light into the room the manager will need to discuss with the local council to see if the tree could be removed. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 7 Recruitment practices are generally satisfactory however the application form used by the home did not request the applicant’s employment history and this should be added to the application form to ensure a more robust recruitment process. There were suitable certificates in place for the testing of equipment however we were not able to view an electrical wiring certificate for the home’s fixed wiring and this will need to be obtained to evidence that the electrical wiring in the home is safe. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All new residents have a needs assessment undertaken prior to them moving into the home this allows both the home, and the resident, to see if the home can meet their assessed needs. EVIDENCE: All residents have their needs assessed before they move into the home. The home’s manager said that she obtains social service assessments before going out to visits residents prior to them moving into the home. She carries out her own assessment and this is done using an assessment form, which includes information on; mobility, communication, recreational needs, medical history, sight, hearing, continence, religious & cultural needs, dietary needs, family involvement, and any other particular needs. The home also carries out a mental health assessment using a form that was developed with the help of a Community Psychiatric Nurse (CPN). Case tracking of 3 residents showed that Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 10 assessments were in place and on file, the home’s completed AQAA also stated that full assessments take place before anyone moves into the home. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The health, personal and social care needs of residents are set out in an individual plan of care, however more information is required in some care plans. Residents have access to all relevant health care professionals and their health care needs are met. The administration of medication is satisfactory, however the storage of any controlled drugs needs to be reviewed. Residents at the home are treated with dignity and respect and their personal care is given in private. EVIDENCE: Care plans were seen for 3 residents and all had information on; medication, mobility, continence, sleeps routine, day routines, sight, hearing, health issues communication and personal care needs. Care plans were made up using a standex system and this was supported by a care plan booklet and a personal file, all of these worked in conjunction with each other and provided staff with good information about the care needs of individuals and the support required. The care plan booklet had details of care needs, however if an individuals care needs changed the booklet made it difficult for changes and updates to be Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 12 made. The home should consider using the information in the booklet in a different format. One resident’s plan stated that the individual could be verbally aggressive and sometimes raised her stick, however there was no further information for staff on how the resident should be supported if this took place. This was discussed with the home manager who told us that she would ensure that the plan was updated so that staff had clear information to provide effective support, she also told us that she would be reviewing all care plans to ensure that nothing had been missed out. Reviews for each resident are carried out at monthly intervals and daily recording takes place at the end of each shift. However the recording did not always provide written evidence that care has been delivered effectively. This was discussed with the home’s manager who understands the need for reviews and recording to provide information on care delivery. Each care plan had evidence that risks assessments had been carried out and these gave information for staff on how identified risks could be minimised. Residents at the home are registered with four local GP surgeries but have a number of different GPs, the manager stated that there was a good relationship with the GPs, who visit the home when required. Residents may keep their own GP if they wish. The manager stated that dental checks and treatment could be problematic but she usually contacted HNS direct who gave information about local NHS dentists and she told us she was able to arrange home visits for residents if required. A visiting optician provides eye care and the home has a visiting chiropodist who calls every 6 – 8 weeks. Some of the residents at the home have CPN’s and there is a district nurse service who call at the home when required and access to other healthcare professionals is through GP referral. The home uses a monitored dose system from a local chemist and the home now has a policy and procedure for receipt, recording, storage, disposal and administration of medication, this includes procedures for “when required” medication. At present there are no residents in the home who self medicate. The inspector viewed medication administration records and these were all up to date with no gaps seen in the records. There was a list of those staff who are authorised to administer medication and these have all received training and specimen signatures were held in the medication file. From time to time the home keeps some controlled drugs and a cupboard was supplied by the pharmacist for secure storage. The law concerning the storage of controlled drugs has recently changed and the home was reminded that should there be a need for any controlled drugs to be held at the home, they must be stored in a proper Controlled Drugs Cupboard. In brief, the requirements for CD storage are: • Metal cupboard of specified gauge • Specified double locking mechanism • Fixed to a solid wall or a wall that has a steel plate mounted behind it • Fixed with either Rawl or Rag bolts Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 13 Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We spoke to five residents, however it was not always possible to get clear views about the home due to their dementia, however when looking at surveys returned to the home comments from health care professionals, staff and visitors were very positive about the care provided at the home. Relatives said that staff were very caring, helpful, and friendly and stated that their relatives were always treated with dignity and respect. Observations made on the day of the visit confirmed that residents and staff get on well together and staff were observed interacting with residents and were seen to treat them with dignity and respect and staff used their preferred form of address when talking to them. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a range of activities for residents, which meet their expectations and the religious and recreational interests of residents are provided for. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. EVIDENCE: The home provides a range of activities for residents and these are normally carried out in the afternoon, a list is displayed on the notice board and these include: armchair aerobics and mobility games, which take place every other week, plus games, quiz’s, board games, manicure, hairdressing and visiting entertainers. The home does not have a dedicated activities co-ordinator and activities are organised by a visiting activities organisation and staff also organised activities for residents. Those residents spoken to said they enjoyed activities at the home. The manager told us that there is a church service monthly and the times were displayed on the notice board, we were also told that the vicar calls at the home on request. Currently activities are recorded Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 15 on a standex card but when we looked at these the recording did not match with the key to abbreviations. We discussed this with the manager who told us that she would obtain a separate activities book where any activities that take place will be recorded together with details of who takes part. The home has a visiting policy and there are no restrictions on visitors, we saw from the visiting book in the hallway at the home that there were a regular stream of visitors to the home and visitors responses to the homes questionnaire indicated that visitors were made welcome and staff were very friendly. Residents spoken to confirmed that they are able to make informed choices and were able to control their own lives as much as possible. One resident at the home is able to access the local community independently and there are no restrictions providing he lets staff know when he is going out. We observed staff and residents interacting and it was clear that they get on well together and both residents and staff confirmed this. We observed residents being consulted throughout the day from the choice of music playing to what they wanted to drink. Staff spoken to said that they always ask residents what they want and would always respect their wishes and views. Staff were observed speaking to residents appropriately using their preferred form of address, also knocking on residents doors before entering. Residents are encouraged to bring some of their own possessions into the home and those rooms seen had been personalised. The home operates a four week planned menu, which is changed regularly and residents’ likes and dislikes are taken into consideration. A record of food eaten by residents is kept and currently no residents require pureed meals, however the cook was aware of the need to puree food individually if required to provide colour and textures that could be enjoyed. In the mornings residents have a choice of cereal, toast or cooked breakfast, lunch is the main meal of the day and on the day of the inspection the lunchtime meal was liver and bacon with potatoes and fresh vegetables. The evening meal is a hot snack type meal and residents are able to have drinks throughout the day and night and staff are able to make snacks for residents at any time. The home employs a cook who works 0800 – 1300 Monday to Friday, when the cook is not working care staff provide meals at the home. Residents spoken with said the food was very good and we observed lunch being taken in the dining room and meals were well presented and staff provided appropriate support. Staff consult residents and tell them what the main meal is and will provide an alternative if the main choice is not to their liking. Meals are served in the dining room at the home, although residents can eat elsewhere if they wish. Records of food consumed in the home are kept and we noted that the cook had made a birthday cake for one of the residents who was celebrating a birthday on the day of the visit. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure in place, which includes all required information. The homes policies and procedures help to protect residents from any form of abuse. EVIDENCE: The AQAA returned by the home’s manager prior to the inspection indicated that there had been one complaint made to the home in the past 12 months. The homes complaints log was inspected and the complaint had been appropriately recorded together with the actions taken and the outcome of the complaint, which was resolved to the satisfaction of the complainant. Residents spoken to were not all aware that the home had a complaints procedure but said that they would address any complaint they may have to a staff member and staff told us that they would report any complaints to the manager. The home has a policy and procedure for dealing with any complaints and this contained all of the required information including timescales. Staff members spoken to were also aware of the complaints procedure. Staff at the home receive training on adult protection as part of their induction and annual updates are provided for staff. Members of staff who were spoken to were aware of their responsibilities in these areas and said that they would report any concerns to the manger. The home has a whistle blowing policy Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 17 and also a copy of the Hampshire Adult Protection procedure and the manager was aware of her responsibilities in this area. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a safe, clean and homely environment that is maintained to a satisfactory level and was pleasant and hygienic with no offensive odours. EVIDENCE: A tour of the building was undertaken and all areas of the home were clean and tidy and in a good state of repair and the manager told us that a great deal of work had been carried out on the internal decoration of the home. All bedrooms seen were well equipped with all the required furniture and fittings and residents’ rooms had been personalised. The home is laid out over two floors with a stair lift provided to access the first floor. There are bathrooms and WC.s on both floors. One of the residents’ rooms (no 6) was quite dark and did not benefit from natural light and this was due to a large tree that was blocking light into the room. This issue was discussed with the home’s manager who said she would speak with the local council to see if the tree could be removed to allow natural light into the room. Downstairs there is a Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 19 large lounge area with music system and a separate smaller lounge with TV, there is also a dining room, kitchen and laundry. The home has a laundry, which is equipped with a washing machines and tumble drier observed to be of an industrial standard and fit for purpose. The laundry area had suitable hand washing facilities and there was appropriate protective clothing available. The floor and walls of the laundry were tiled and easily cleaned. Carers undertake the laundry throughout the day. The manager told us that any soiled items are brought down to the laundry in bags, however there was no clear procedure for staff to follow. The manager said that she would put a procedure in place to ensure that all staff follow a standard procedure for dealing with any soiled items. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has sufficient staff on duty to ensure residents receive the support they require. Staff were found to be well motivated and competent to do their jobs and residents are protected by the home’s recruitment procedures. The home provides training for staff to enable them to carry out their roles effectively. EVIDENCE: On the day of the visit the inspector looked at the staffing levels and this showed that there is a senior carer plus 2 staff members on duty between 0800 & 2000 and 2 awake staff members on duty between 2000 and 0800. The homes manager who works Monday to Friday 0800 – 1600 complements these numbers and she is also on call at weekends. There is also a cook who works Monday to Friday 0800 – 1330 and a cleaner who works 0800 – 1400 six days per week. Staffing numbers were discussed with the manager and she stated that she felt that staffing levels were sufficient, however staffing numbers would be kept under review. All residents spoken to said that they felt that staffing levels were adequate. Residents told us that “the staff are very good” “there is always someone around” and “I am well looked after”. Staff spoken to also said that they felt that staffing levels were sufficient. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 21 The home employs a total of 11 care staff and has 7 members of staff who are qualified nurses in their own country but are all undertaking an NVQ3 apprenticeship. 2 other staff has NVQ2. The cook is undertaking NVQ in food and hygiene and the manager stated that the home would support staff to obtain National Vocational Qualifications. Recruitment records were seen for three members of staff and files seen contained all of the required information including application form, 2 x references, photo, passport, work permit, health declaration, Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and contract of employment. It was noted that the application form used by the home did not request the applicants’ employment history and this should be added to the application form to ensure a more robust recruitment process. Staff training records were looked at and the manager showed us a training matrix, which showed that training is provided in; first aid, food hygiene, moving and handling, fire, infection control and adult protection, medication, health and safety, dementia care and challenging behaviour. A suitable induction programme is in place and staff are expected to complete a workbook to show that they are familiar with the homes procedures. The manager has made up questionnaires for staff to complete and these cover care practices and provide evidence that staff receive an induction that is based on skills for care. Staff spoken to confirmed that they received a thorough induction and that they are provided with appropriate training in order to carry out their care tasks. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed by a person fit to be in charge and able to discharge her responsibilities fully. The home has a quality assurance system in place to seek the views of residents, relatives and other professionals to measure the effectiveness of the service. Staff are supervised as part of the normal management process and systems are in place for the safekeeping of residents personal spending money. The health, safety and welfare of residents and staff are generally promoted and protected, however the home must obtain an in date certificate for the homes fixed electrical wiring. EVIDENCE: The manager has been in post for over 3 years and is holds the Registered Manager’s Award, and is currently working to achieve NVQ4 in care, she Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 23 operates an open door policy and is able to manage the service effectively, and she told us that she undertakes regular training to update her skills. The home has an effective quality assurance system in place and questionnaires are sent out to residents, relatives, staff, heath care professionals and other interested parties. Responses to questionnaires are kept in a folder at the home and we were able to view these and they showed that people were happy with the service provided. Regular regulation 26 visits are conducted and the home holds regular staff and residents meeting every 6 – 8 weeks. The home does not manage any residents’ money, they do however keep some personal spending money for residents, a clear record is kept of all transactions and this provides a clear audit trail. We checked the balance for two residents and these were accurate and up to date. There is an in date fire risk assessment for the building and regular health and safety monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for gas safety, fire alarms systems and equipment, private electrical equipment, stair lift and fixed hoists, however the manager could not find the certificate for the testing of the homes fixed electrical wiring. Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP7 Regulation 15 (1) Requirement Care plans must contain clear information for staff on what action to take if it is known that a service user may become verbally or physically aggressive. This will help to ensure that each individual service users needs in respect of his/her care and welfare can be met. To ensure that residents and staff are protected the home must obtain an in date certificate for the homes fixed electrical wiring. Timescale for action 30/07/08 2 OP38 23(4) 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Beechwood Residential Care DS0000069020.V365235.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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