Care Home: Lee Beck Mount

Similar services:

• Larch Avenue
• Alderson Road 12
• Cranworth Close Registered Care Home
• The Cornerstone
• John Street Nursing Home
• Pennine Camphill
• Whitwood House
• Whitwood Hall

What the care home does well The home is well managed and care is provided to people in a comfortable and well-maintained home. It is decorated and furnished to a good standard. People said that they could bring in their own belongings to personalise their rooms. The home has an open door policy and encourages people to tell them what they think about the service. One person living in the home said people could visit at any time, and are made to feel welcome by staff.The home has established close working relationships with other professional to make sure people`s health care needs are met and they have access to the full range of NHS services. The staff makes sure that all the people make meaningful decisions about their lives. The choices that people make are well considered and staff make sure that they choose from an extensive range of good quality activities and experiences. People that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. What has improved since the last inspection? Since the last inspection visit all identified risks for people who use the service have detailed up to date action plans in place in order to minimise or prevent the risk. The manager has taken steps to ensure medications are dealt with safely. All staff have received fire training to make sure their practice is safe and up to date. All the staff now receives regular supervision so that they are clear on their responsibilities and are properly supported. The homes health and safety records are well maintained. What the care home could do better: To make sure that the home can meet the person`s needs a pre-admission assessment should always be carried out. The level of information recorded is variable depending on the person carrying out the assessment. This means that in some cases the information recorded is limited and staff do not have all the relevant information needed to make sure the person`s needs are met. Staff must make sure that they sign and date all entries that they make in the persons` care record. The care plans must monitor and record the weight of people at regular intervals. Any emerging patterns or variation in people weight loss/gain can be medically reviewed, and dietary needs can be more ably addressed. This will prevent serious consequences to people`s health. CARE HOME ADULTS 18-65 Lee Beck Mount 108 Leeds Road Lofthouse Wakefield West Yorkshire WF3 3LP Lead Inspector Hebrew Rawlins Key Unannounced Inspection 17th November 2008 08:40 Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 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 Lee Beck Mount DS0000001529.V373374.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 Adults 18-65. 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. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Lee Beck Mount Address 108 Leeds Road Lofthouse Wakefield West Yorkshire WF3 3LP 01924 824065 01924 823 787 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) Advitam Limited Mr Richard Smith Mr Neil Robinson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2007 Brief Description of the Service: Advitam is a Limited company, which operates one residential care home, Lee Beck Mount. Lee Beck Mount is situated on the A61 in the Lofthouse district of Wakefield. It is a large detached residence originally constructed in 1890 but has undergone extensive refurbishment to provide care for twelve people with learning disabilities, who may also have physical disabilities. It is accessible for people who use wheelchairs. The home does not provide nursing care. Lee Beck Mount is within walking distance of all local amenities; there is a range of public houses and restaurants that are welcoming to the people who live at Lee Beck Mount. Leeds and Wakefield City Centres are accessible by public transport. The home has two multi-passenger vehicles, which are used throughout the week. All bedrooms are spacious and provide en-suite facilities. There is a large communal lounge area, a dining room and a kitchen area. There is a covered patio area outside. Current information about services provided at Lee Beck Mount in the form of a statement of purpose, service user guide and the most recent inspection report published by the Commission for Social Care Inspection are available by contacting the home. The current weekly fees for the home range between £650 and £1414. Additional charges are made for toiletries, hairdressing and some activities. The managers of the home gave this information on 17 November 2008. Lee Beck Mount DS0000001529.V373374.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 two stars. This means that people that use the service experience good quality outcomes. The inspection process included looking at information we have received about the service since the last key inspection, as well as this unannounced visit to the home, which was carried out between 08:40 and 16.00 hrs on the 17th November 2008. The methods we used included looking at records, observing staff at work, talking to people living at the home, talking to staff and looking around the property. Before the visit we had provided some people living at the home, their relatives and other healthcare professionals with survey questionnaires so that they could share their views of the service with us. The information they provided has been used as evidence in the body of the report. The home had also completed and returned their Annual Quality Assurance Assessment form and the information provided has also been used as evidence in the body of the report. The purpose of the visit was to assess what progress the home had made in meeting the requirements made in the last inspection report and the impact of any changes in the quality of life experienced by people living at the home. We have recently improved our practice when making requirements to improve national consistency. Some requirements from previous inspections may have been deleted or carried forward as recommendations, but only when it is considered that people that use the service 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. Feedback during and at the end of the visit was given to the managers. What the service does well: The home is well managed and care is provided to people in a comfortable and well-maintained home. It is decorated and furnished to a good standard. People said that they could bring in their own belongings to personalise their rooms. The home has an open door policy and encourages people to tell them what they think about the service. One person living in the home said people could visit at any time, and are made to feel welcome by staff. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 6 The home has established close working relationships with other professional to make sure people’s health care needs are met and they have access to the full range of NHS services. The staff makes sure that all the people make meaningful decisions about their lives. The choices that people make are well considered and staff make sure that they choose from an extensive range of good quality activities and experiences. People that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. What has improved since the last inspection? What they could do better: To make sure that the home can meet the person’s needs a pre-admission assessment should always be carried out. The level of information recorded is variable depending on the person carrying out the assessment. This means that in some cases the information recorded is limited and staff do not have all the relevant information needed to make sure the person’s needs are met. Staff must make sure that they sign and date all entries that they make in the persons care record. The care plans must monitor and record the weight of people at regular intervals. Any emerging patterns or variation in people weight loss/gain can be medically reviewed, and dietary needs can be more ably addressed. This will prevent serious consequences to people’s health. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 7 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. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People’s individual aspirations and needs are assessed to make sure that they lead a safe and fulfilling life. EVIDENCE: Record keeping is of a good standard and the assessment and life planning records provide comprehensive detail and a clear structure to the care provided at the home. However they should show the date when an assessment is done. There was clear evidence from the records and discussions with people and staff that people were actively involved and contributed to the assessment process. Communication could be supported more by the use of graphics and pictorial images, which represented key areas of the people’s life. Information provided in the Annual Quality Assurance Assessment (AQAA) states one person visited the home around four times per week for around nine months prior to an overnight stay. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People are very much involved in the process of their care plan. They are supported in making decisions about all aspects of their daily lives including managing risks. To make sure that the home can meet the person’s needs a pre-admission assessment should be more detailed. EVIDENCE: People are meaningfully involved with the running of their home and lives. The care planning is person centred and genuinely includes the individual in all the decision-making. The staff only gives support where necessary, the preferences of the individual are clearly central to the care. Record keeping in general is of a good standard, but some of the assessments were more detailed than others. The level of information recorded is variable Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 11 depending on the person carrying out the assessment. This means that in some cases the information recorded is limited and staff do no have all the relevant information needed to make sure the person’s needs are met. Staff must make sure they sign and date all entries that they make in the persons care record. Each person is also involved in regular reviews, which take place with professionals, day service staff, relatives’ advocates and staff from the home. These reviews encompass all aspects of the persons lives and clearly show how agreements are reached about risk management. People staff said that they enjoyed living at the home and described how they spent their days and the activities they did beyond the home. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged to participate in appropriate social and leisure activities; they lead fulfilling lives outside as well as within the home. EVIDENCE: People are encouraged to help with the domestic tasks within the home. They are supported to clean their own rooms and help with laundry, shopping and preparing food. One person said he regularly sets the table for the main meal. The staff are positive and imaginative in furthering peoples skills within the home and aim to provide a varied and fulfilling programme of activities both within the home and wider community. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 13 Staff said that all the people have different activities that they are involved with during the week. Some attend day centres and T.A.C.T. during the week. People go to the pub, garden centre, shows and meals out. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, and 20 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health is regularly assessed and reviewed to make sure that needs are not overlooked. Medication procedures and staff training make sure that people are protected when taking medicines. EVIDENCE: People have a health plan, which assesses their individual health needs and is regularly reviewed. The good organisation and management of this makes sure that essential health needs are not overlooked. However the care records must clearly show the weight of people who use the service and what action has been taken by staff to ensure dietary needs are addressed to prevent serious consequences to their health. The staff have received training in medication and have a good understanding of the policies and procedures. The medication records were well maintained and the storage of prescribed medication held safely. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 15 Staff were observed to be treating people in the home with kindness and respect when speaking with them. People looked clean and well cared for. The management said over the last 12 months they have provided staff with more access to information relevant to specific people who use the service e.g. dementia, incontinence and bereavement. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. People are comfortable in raising concerns and complaints to the management, and the management will resolve the situation in the best interest of the person. Staff are aware of how to protect people from abuse. EVIDENCE: Two people said they were aware of whom to complain to and felt comfortable when raising concerns with the management. One gave example of how his concern and complaint had been resolved by management. The home has a complaints policy, which provides staff with the procedure they should follow if a complaint is made. There has been no complaint made to Commission. The organisation has adult protection policies and information in place and the home has got copies of the local authority adult protection procedures. Staff said that they would report suspected or actual abuse to the manager. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25,26, 28 and30 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. The home enables people to live in a safe, and comfortable environment, which encourages independence. EVIDENCE: All areas of the home were visited. The home offers a very comfortable and safe place for people who live there. Staff have made sure that the peoples bedrooms reflect their needs and suit their choices and preferences. Rooms were clean and free from any unpleasant odours. The maintenance officer ensures there is an ongoing programme of refurbishment and renewal at the home. Disposable gloves and aprons are available and there is adequate provision of liquid soap and disposable towels for staff use. This helps to make sure staff follow good infection control practice. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. There are sufficient staff employed to make sure people’s needs are met and staff are given training to make sure they can care for people properly. EVIDENCE: The home has a thorough staff recruitment and selection procedure, which includes obtaining at least two written references and a Criminal Record Bureau (CRB) before new staff start work. This makes sure only people suitable to work in the caring profession are employed. The Annual Quality Assurance Assessment returned to the Commission said the home maintain high staffing levels based on people’s needs and utilise higher staff levels at key times. Staffing levels are regularly reviewed and altered month by month to anticipate appointments and are adjusted accordingly. The staff rota showed that sufficient staff are employed in the home to meet people’s needs. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 19 Feedback from staff indicates that they are generally happy working at Lee Beck Mount and pleased with the training on offer. The staff confirmed that new staff induction training at the home and additional training is provided regularly. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 and 42 People using this service experience good quality outcome in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is managed in a manner that promotes good service delivery in the best interest of people using the service. EVIDENCE: The manager has several years experience of caring for older people. Both the registered provider and manager have a positive attitude to the inspection process and have shown a willingness to work with us to maintain and improve standards at the home. There are clear lines of accountability, which makes sure the home is managed effectively and in the best interest of the people living there. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 21 Records of financial matters are maintained within Social Services departmental procedures and audit requirements. People are encouraged to manage their own monies, where achievable. The manager ensures staff are supervised and supported to enable them to care for the people in the home. Information from the Annual Quality Assurance Assessment (AQAA) said that all maintenance and safety checks were carried out and kept up to date. This is to ensure people living in the home are safe. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 3 3 x Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA2 YA6 YA19 Good Practice Recommendations To make sure that the home can meet the person’s needs a pre-admission assessment should always be carried out and clearly detailed. Staff must make sure that they sign and date all entries that they make in the persons care record. The care records should clearly show the weight of people who uses the service so dietary needs can be more ably addressed. Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Lee Beck Mount DS0000001529.V373374.R01.S.doc Version 5.2 Page 25 - 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!