Latest Inspection
This is the latest available inspection report for this service, carried out on 25th May 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Beechwood Residential Care Home.
What the care home does well The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a person`s needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. Service user`s health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. The staff are working hard to provide a stimulating atmosphere in the home, with appropriate social contacts and activities for service users. Service users are encouraged to keep in regular contact with family and friends, and they are always made welcome in the home. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. There is a balanced diet, with service users choice included. Complaints and concerns are taken seriously and are responded to properly. The home is kept clean and hygienic and free from odours. The home has enough staff to meet the needs of service users The manager is experienced and is providing positive leadership to the home. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the home`spolicies and systems. What the care home could do better: During this inspection visit, no requirements or recommendations were identified. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Beechwood Residential Care Home 29 Queen`s Road Blackhill Consett Durham DH8 0BL three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jim Lamb Date: 2 5 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Beechwood Residential Care Home 29 Queen`s Road Blackhill Consett Durham DH8 0BL 01207590639 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Alison Joan Scott Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Janette Heslop care home 6 Number of places (if applicable): Under 65 Over 65 2 learning disability Conditions of registration: Date of last inspection Brief description of the care home 4 Beechwood is registered with the Commission for Social Care Inspection to accommodate and provide care for up to six adults with a learning disability. Beechwood is a large, detached house situated in private grounds and located in Blackhill, near Consett in County Durham. The home provides well-maintained and homely accommodation on two floors. Communal accommodation consists of a large lounge, dining room, kitchen and conservatory, with extensive external grounds. Five bedrooms are located on the first floor of the building and one is located on the ground floor. One of the bedrooms provides en-suite bathing, washing and toilet facilities and another one provides en-suite shower, washing and toilet facilities. A communal
Care Homes for Adults (18-65 years) Page 2 of 11 Brief description of the care home bathroom is located on the first floor and a communal toilet is located on the ground floor. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The quality rating for this service is 3 stars. This means that the people who use the service experience excellent quality outcomes. How the inspection was carried out. Before the visit we looked at information we have received since the last visit, any changes to how the home is run, the providers view of how well they care for people. During the visit we talked with people who use the service, mangement and staff. looked at information about the people who use the service and how well their needs are met, looked at other records which must be kept, checked that staff had the knowledge, skills and training to meet the needs of the people they care for, looked around the building/parts of the building to make sure it was clean, safe and comfortable, and checked what improvements had been made since the last visit. We told the manager/provider what we found. Choice of Home: The home has a Statement of Purpose and Service Users Guide that gives clear information about the service. These include good details of the accommodation for the people who have moved here. The guide has been produced in a pictorial format, this is good practice. There is comprehensive assessment process that includes the input of the prospective service user, their relatives, social worker, care manager and, where appropriate, other health care professionals. This ensures that the needs of each prospective service user are fully assessed before a decision is made about whether the service can meet their individual needs. The pre-assessment information in the home gives very clear details of service users specific needs. All the people who live here have contracts that outline their rights and responsibilities whilst living here. These are kept in their care files which they can access, with support if necessary. The contracts also include details of the individual fees for each service user and their contribution. Individual needs and choices: Care Homes for Adults (18-65 years) Page 4 of 11 During the inspection, It was evident that staff were fully committed to helping people living at the home to live fulfilling lives as independently as possible. There was evidence that the people using the service made their own decisions about how they lived their lives. For example, service users are supported to make decisions about their day-to-day lives including what time to get up, what to wear, what to eat, who to see, and how they will spend their day. The care records of two service users were examined. Their care plans had fully taken account of the information contained in the assessments and care plans supplied by social services as well as that of the homes own pre-admission assessment. Care plans are person centred, and are based around service users strengths and their preferences for how they wanted to be cared for. All care plans were easy to understand and written in plain English. Service users also contribute to their care records/plans, they keep easy to read pictorial plans about their life, chosen needs and preferences. They keep these in their bedrooms. They also keep their own achievement/activity, boards, and these are updated each week. Each plan accurately described the service users needs/preferences and how staff will meet these needs. All plans are reviewed regularly. A key worker system was in operation and this allowed staff to work more closely with some people whilst also contributing to the care of all living at the home. In each persons care records, comprehensive risk assessment information was available. For example, risk assessments covering the following areas had been completed: Behaviour management, nutrition, falls, mobility, and living independently. No limitations had been placed on service users right to make decisions and choices about how they lived their lives. Personal health care: A thorough assessment of the physical health needs of each person takes place before/on admission, and monthly, thereafter. Key workers complete a monthly synopsis of each persons health and personal care needs. Care plans cover all assessed needs, including health care needs. All visits to and/or from health professionals are clearly recorded in the care record. There was evidence of the full range of community health professionals, as well as specialist referrals, as needed. Each service users weight is recorded monthly, and action taken where there is significant weight loss/gain. The home uses the monitored dosage system for its medications. The Medication Administration Records (MAR) was being well completed, with no blank
Care Homes for Adults (18-65 years) Page 5 of 11 entries. Each service users section in the MAR has a photograph of the person, to make sure that the right medicines are being given out. Medicines are stored in a locked and secured cabinet. All staff have been properly trained to mange the medication systems, and have easy access to the homes medication procedures. Service users confirmed that they are treated with respect at all times and have their privacy respected by the staff. Staff were seen to treat service users with respect and kindness. Environment: The home was clean, well decorated and well maintained. The grounds were highly attractive, tidy, safe, and accessible. The home has an appropriate amount of sitting, recreational and dining space. There are enough rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. Furnishings and fittings were domestic in design and in very good condition. Two bedrooms have got en-suite facilities. All rooms are spacious, and highly personalised. There is lots of photographs of recent events and art work displayed around the home. The grounds are well maintained, professionally landscaped and are used regularly by service users. Overall, this is a highly attractive environment that provides a comfortable and safe place for service users. The home has policies and procedures on hygiene and control of infection. Management: The registered manager has the required qualifications and experience to run the home. There is a range of quality systems in the home. There is an annual survey of the views of the service users, families, staff and professionals involved in the home. The findings are collated and an action plan drawn up to address any areas of concern. There are also regular meetings held with both the service user groups and with the staff group. These are minuted and action points listed. Service users are also involved in the selection and recruitment of staff. This is good practice.
Care Homes for Adults (18-65 years) Page 6 of 11 All staff receive annual health and safety training. Checks of the fire log book showed that all the required checks and tests of equipment and systems take place at the proper intervals, as does fire safety training. The homes accident book is kept up to date and information is fully recorded. Each accident is reviewed after 24 hours to check the outcomes of the accident and any treatment given. There is a monthly audit of accidents, and a detailed audit of all falls. Servicing and maintenance records are comprehensive and well maintained. What the care home does well:
The home provides a good range of information to people thinking of coming to the home, so they can make an informed decision. The home makes a full assessment of a persons needs before deciding if it can meet all those needs. The home draws up plans to meet the care needs of its service users. Service users health care needs are also fully assessed and properly met. The home stores medicines safely, and administers them correctly and safely. The staff are working hard to provide a stimulating atmosphere in the home, with appropriate social contacts and activities for service users. Service users are encouraged to keep in regular contact with family and friends, and they are always made welcome in the home. Service users are also encouraged to take as much control over their own lives as they are able, and make their own decisions. There is a balanced diet, with service users choice included. Complaints and concerns are taken seriously and are responded to properly. The home is kept clean and hygienic and free from odours. The home has enough staff to meet the needs of service users The manager is experienced and is providing positive leadership to the home. The home is being run in the best interests of the service users. The health and safety of the service users and of the staff are protected by the homes
Care Homes for Adults (18-65 years) Page 7 of 11 policies and systems. What they could do better: 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 2. Care Homes for Adults (18-65 years) Page 8 of 11 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 9 of 11 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, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!