Latest Inspection
This is the latest available inspection report for this service, carried out on 7th June 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Chorleywood Beaumont.
What the care home does well We found the environment to be clean and fresh. The food was good and served at an appropriate temperature. People we spoke with told us that they home is gradually improving. What the care home could do better: The home must continue to work on the areas identified for improvement. The lack ofstable and strong management has led to a deterioration in standards within the home. The Organisation must endure the home has stable management in the longterm. Random inspection report
Care homes for older people
Name: Address: Chorleywood Beaumont Rickmansworth Road Chorleywood Hertfordshire WD3 5BY two star good service 08/07/2009 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: Marian Byrne Date: 0 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Chorleywood Beaumont Rickmansworth Road Chorleywood Hertfordshire WD3 5BY 01923285111 01923285035 Telephone number: Fax number: Email address: Provider web address: www.barchester.com Name of registered provider(s): Name of registered manager (if applicable) Barchester Healthcare Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 0 60 0 dementia old age, not falling within any other category physical disability Conditions of registration: 60 0 60 Care Home with Nursing (N) To service users 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 Dementia - Code DE Physical Disability, Code PD The registered person may provide the following category of service only: 60 Date of last inspection 0 8 0 2 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home The Chorleywood Beaumont Care Home is registered to admit up to 60 elderly service users who require nursing care. Ten service users over 45 years of age with physical disabilities may be accommodated within the overall capacity of the home. The Chorleywood Beaumont is a restored period house with modern additions. There are Close Care apartments on the ground floor that are not part of the registered home. This service is inspected under the Domiciliary Care Agency Standards. All nursing clients have bedrooms on the first floor, with a range of day rooms and facilities on both floors. There are attractive gardens to the rear of the home and parking facilities to the front and side of the building. The home is situated in an attractive semi-rural location between Rickmansworth and Chorleywood, close to the junction of the M25 motorway. The home is part of the Westminster Health Care Ltd group, which is owned by Barchester Healthcare Homes Ltd. The current fee levels which are based on an individual assessment of need and the type of accommodation booked range from #750 - #1155 per week. Details of inspection reports are available on request from the home. Care Homes for Older People Page 3 of 8 What we found:
We conducted this Random Inspection to follow up on the previous random inspection conducted on the 8th February 2010. We found that the home had another new manager who was appointed in May 2010. We looked at the requirements we left at the last inspection and found that the immediate requirements we left had been met. We found that the requirement left in relation to the recruitment of permanent staff has yet to be met. Because of the lack of permanent staff who have a knowledge of the heritage of the people who live in the home problems arise. The new manager is aware of these problems and has started to address them. We were told that the home is making every effort to meet recruit permanent staff. The latest information we received from the home indicates that four new staff have been appointed and a further nine are currently being processed. The new Manager took up post on the 4th May 2010 and we are told that she will be fully supported by the Senior Management Regional team and that the Regional Manager will operate form the Chorleywood home for the foreseeable future. The home has also appointed a Clinical Manager to support the manager and to lead by example in the care of the residents. We spent time with the new home Manager and she told she had introduced the following changes to improve the service to residents: Regular meetings with head of departments, written hand overs after each shift, residents committee meetings, a new medication system, a robust system to respond to complaints, a staff training audit, improvements in the delivery of meals ensuring kitchen staff were aware of dietary needs review of care plans. At the last inspection we found that people who had a dementia were not offered the same service as those in the rest of the home. We found the service of the food unacceptable this has been rectified in part, there was not free access to snacks for that part of the home. We were told that the kitchen staff were not aware of the dietary needs of the residents e.g. who need their food pureed, who is diabetic and therefore on a restricted diet. This has now been rectified by the manager. Residents who have a dementia are not assisted by pictorial menus. This would help them to identify what food is on the menu for lunch etc. While we found the staff who care for people who have a dementia to be kind and caring however we found that the staff are not trained to understand the needs of people who have a dementia. Their movement of the people who have a dementia is restricted due to the lay out of the home and they do not have free access to fresh air. The grounds of the home do not offer a safe haven to the residents as there is no safety barrier between the homes grounds and the public road that runs directly in front of the home. We found the manager keen to improve her knowledge of the care of people who have a dementia and she told us that she is planning to undergo studies to improve her knowledge in September 2010. What the care home does well: What they could do better:
The home must continue to work on the areas identified for improvement. The lack of
Care Homes for Older People Page 4 of 8 stable and strong management has led to a deterioration in standards within the home. The Organisation must endure the home has stable management in the longterm. 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 Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 27 17 The residents who live in the 31/03/2010 home must be cared for by staff who understand their social and cultural needs. You must do this because residents especially those who have a dementia are cared for by staff who have some understanding of their cultural background. Care Homes for Older People Page 6 of 8 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 Older People Page 7 of 8 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 Older People 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 Older People Page 8 of 8 - 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!
