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Benvarden Residential Care Homes Limited, Exhall, Coventry.

Benvarden Residential Care Homes Limited in Exhall, Coventry is a Residential home specialising in the provision of services relating to accommodation for persons who require nursing or personal care and caring for adults over 65 yrs. The last inspection date here was 12th September 2019

Benvarden Residential Care Homes Limited is managed by Benvarden Residential Care Homes Limited.

Contact Details:

    Address:
      Benvarden Residential Care Homes Limited
      110 Ash Green Lane
      Exhall
      Coventry
      CV7 9AJ
      United Kingdom
    Telephone:
      02476368354

Ratings:

For a guide to the ratings, click here.

Safe: Inadequate
Effective: Requires Improvement
Caring: Requires Improvement
Responsive: Requires Improvement
Well-Led: Inadequate
Overall: Inadequate

Further Details:

Important Dates:

    Last Inspection 2019-09-12
    Last Published 2019-03-22

Local Authority:

    Warwickshire

Link to this page:

    HTML   BBCode

Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

29th January 2019 - During a routine inspection pdf icon

About the service:

Benvarden is a residential care home, providing personal care and accommodation. There were 12 people with frailty due to older age and / or dementia living at the home at the time of the inspection.

What life is like for people using this service:

• The provider had failed to act on fire safety concerns identified to them in a report sent from the local Fire Protection Team who inspected the service during April 2017. During our inspection we identified similar issues and shared serious concerns with the provider about risks posed to people due to inadequate fire safety.

• The provider’s quality assurance system did not ensure quality and safety. The general décor and maintenance throughout the service was poor and posed risks of injury to people because repairs were required. This included repairs to masonry to prevent draughts in rooms, repairs to blinds where cords were broken and repairs to ensuites so that effective cleaning could take place and minimise risks of infection.

• Nationally recognised tools were not used to assess individual risks to people and risk management plans were inadequate.

• Medicines were not managed in a safe way and meant risks to people’s health and wellbeing were posed.

• People were not always supported by staff that had the necessary skills and knowledge to meet their needs.

• People had detailed information in a one page ‘pen portrait’ about them, but this was not used to ensure people received personalised care. Throughout our inspection we found a lack of interaction and stimulation for people.

• People had plans of care, though these did not consistently include the information staff needed, such as information related to people's nutritional and hydration needs.

• There were insufficient staff on shift to safely meet people’s needs and this impacted on people not being offered or supported with an afternoon drink or snack on the day of our inspection.

• Staff spoken with told us they felt they could telephone one another for support if needed or the provider, who also managed the home and spent four days a week in the service.

• There was no other managerial oversight of the home in the provider’s absence and the provider’s lack of effective governance meant the quality and safety of the service was poor.

Following our inspection, we notified relevant stakeholders such as the local Fire Service, Local Authority and Local Clinical Commissioning Group (CCG) about the areas of concern we identified.

We reported that the registered provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These were:

Regulation 9 Regulated Activities Regulations 2014 - Person centred care

Regulation 12 Regulated Activities Regulations 2014 - Safe care and treatment

Regulation 17 Regulated Activities Regulations 2014 - Good governance

Regulation 18 Regulated Activities Regulations 2014 - Staffing

Rating at last inspection: The last report for Benvarden was published on 29 January 2018 and we gave an overall rating of Requires Improvement.

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Enforcement: Action provider needs to take (refer to end of report). Full information about CQC’s regulatory response to the more serious concerns found in inspections and appeals is added to reports after any representations and appeals have been concluded.

Follow up: Due to level of risks identified from this inspection, we wrote to the provider under Section 31 of the Health and Social Care Act 2008, to request an action plan to address our immediate concerns. We met with the provider at the service on 4 February 2019 to check they had taken urgent actions needed to ensure people’s safety. We will continue to monitor progress made against the provider’s action plan and any regulatory action as an outcome of this full inspection report.

The overall rating for this service is 'Inadequate' and the se

20th December 2017 - During a routine inspection pdf icon

We inspected Benvarden Residential Care Home on 20 December 2017. The inspection visit was unannounced.

Benvarden provides personal care for up to 14 older people, including people living with dementia. The accommodation is on two floors. There were 12 people living at the home when we inspected the service.

A requirement of the service’s registration is that they have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and the associated Regulations about how the service is run. There was a registered manager in post at the time of our inspection visit who was also the provider. We refer to the registered manager as the manager in the body of this report.

Since our inspection on 14 January 2016 we have reviewed and refined our assessment framework, which was published in October 2017. Under the new framework certain key areas have moved, such as support for people when behaviour challenges, which has moved from Effective to Safe. Therefore, for this inspection, we have inspected all key questions under the new framework, and also reviewed the previous key questions to make sure all areas were inspected to validate the ratings.

At our previous inspection we found Effective was rated ‘Requires Improvement’. This was because where people did not have capacity to make certain decisions, the records to support decisions made on their behalf were not sufficiently detailed. There was also a risk that some people may have been deprived of their liberty because the provider's application of the deprivation of liberty safeguards was inconsistent. At this inspection we have rated Effective as ‘Good' because the manager and staff followed the principles of the MCA. However, paperwork around the MCA still required improvement to ensure people's decisions and decisions made on their behalf were recorded.

We found Individual risks to people's health were not always documented, however, risks were being managed appropriately to ensure people were protected. Risk management plans had been updated to ensure the environment and premises were managed safely.

There was enough staff to keep people safe. All necessary checks had been completed before new staff started work at the home to make sure, as far as possible, they were safe to work with the people who lived there. People were supported by a staff team that knew them well.

Staff received training and had their practice observed to ensure they had the necessary skills to support people. Staff treated people with respect and dignity, and supported people to maintain their privacy and independence.

People had been consulted about their wishes at the end of their life. Plans showed people’s wishes about the interventions they had agreed to.

People received their medicines as prescribed to maintain their health and wellbeing. People were supported to access healthcare from a range of professionals inside and outside the home, and received support with their nutritional needs. This assisted them to maintain their health.

People were supported to take part in social activities, although feedback we received from relatives indicated that more could be done to stimulate and engage people. People made choices about who visited them at the home, which helped people maintain personal relationships with people that were important to them.

People knew how to make a complaint if they needed to. People who used the service and their relatives were given the opportunity to share their views about how the service was run; action was taken in response.

Quality monitoring procedures identified some areas where the service needed to make improvements, for example, in record keeping. Where issues had been identified in checks and audits, the manager t

14th January 2016 - During a routine inspection pdf icon

We inspected Benvarden Care Homes Limited on 14 January 2016. The visit was unannounced and conducted by two Inspectors.

A requirement of the registered provider's registration is that they have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations concerning the way the service is run. There was a registered manager in post at the time of our inspection.

The service is registered to provide accommodation and personal care for up to 14 older people. At the date of the inspection nine people were living at the home all of whom had varying levels of dementia or short term memory loss which meant some people had limited abilities of communication. We therefore spent time observing the provision of care in the communal areas throughout our visit.

We found people were protected against the risk of abuse as the provider had recruitment procedures to employ staff of good character. The provider had safeguarding policies and procedures in place to protect people and had ensured staff had received training and understood how to report allegations of abuse.

There were sufficient members of staff to care for people effectively and safely, and to meet people's individual needs. There were however certain times of the day when additional assistance would be needed from the registered manager.

Daily activities were planned for people that met their individual needs, and people were given the choice whether or not to be involved.

There were records of each person's individual care and support needs but these did not fully reflect the care and support they received from staff on a daily basis. However, staff demonstrated that they knew people well and could describe in detail the care people received and needed.

The registered manager and deputy manager understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. However decisions made in people's 'best interests' where they could not make decisions for themselves were not always documented in detail in the records. We found there was also a need to consider the application of the Deprivation of Liberty Safeguards for certain people.

People were treated with respect and dignity, and staff supported people to maintain their privacy and independence. Visitors were encouraged, and where possible people made choices about who visited them at the service, which helped them maintain personal and family relationships.

When required and prescribed, people received medicines to maintain their health and wellbeing. The provider ensured and facilitated access to other healthcare services from a range of professionals both inside and outside the service for the benefit of the people.

We saw and were told that people received good quality food and drink throughout the day including any specialist dietary requirements. This provided people with their nutritional needs and helped to maintain their health.

People and their relatives knew how to make a complaint if they needed to. There was a process to ensure complaints or concerns when made were fully investigated and analysed so that the provider could learn from them and make changes.

Quality assurance procedures were in place which identified where the service needed to make improvements. There were regular opportunities for people and their relatives to share their views on how the service was run, and where issues had been identified, the registered manager took action to improve the service.

2nd May 2013 - During a routine inspection pdf icon

During our visit to Benvarden Residential Care Home we met with most of the people using the service. We spoke with three people in more depth about their experience of care. We also met and spoke with five visiting relatives, the manger and three members of the care staff team.

We were not able to speak with some people who used the service because of their complex needs. However, we noted they looked comfortable in their surroundings and smiled at staff when being supported with their care.

People spoken with told us they were satisfied with the service that they received. One person told us, “The staff are all really wonderful.”

A visiting family member who told us, “You couldn’t wish for better staff. I would have no hesitations in recommending the service to anyone.”

Staff members spoken with told us they felt well supported and able to approach the manager or deputy manager with any concerns. One staff member told us, “The care is good, everybody is friendly and everybody really cares.”

We observed that people were offered care and support at a level which encouraged independence and ensured their individual needs were met. There was a relaxed atmosphere in the home and we noted staff interacted confidently with people and were friendly and courteous in their approach to them.

20th June 2012 - During a routine inspection pdf icon

We visited Benvarden Residential Care Home on 20 June 2012. Our visit was unannounced which meant no one who lived or worked there knew we were coming.

During our visit to the home we watched to see what life was like for people who were living at Benvarden. We spent time talking with four people who live at the home, a visiting relative and four members of staff. We looked at some of the records kept to support staff in providing the correct care and also at medicines and management records.

We saw that staff knew people at the home well and spoke with them in a friendly, respectful way. Throughout the day we noticed that staff were prompt to come to people who were upset or restless and spoke with them using a calm, reassuring tone of voice.

We spoke with four people who used the service who told us that they were happy with the service and had no concerns. People were positive about their experiences of living at the home and the care they received. We saw that people were smiling and looked comfortable. The four people we spoke with told us that they were “very happy here" and “I am looked after very well.”

The relative we met told us they were very happy with the quality of the care their family member received. They spoke highly of the staff and described them as kind and caring, They said, “I am more than satisfied with the care my relative receives here. They are happy here and that’s what matters.”

People were dressed in their own style and were encouraged to continue to take a pride in their appearance on a daily basis. One person told us, “It’s important to look good.”

People told us they felt safe and able to report any concerns they may have. One person told us, “I can’t think of anything to grumble about.”

Staff spoken with told us that they were happy working at Benvarden. They said that they received regular supervision to monitor their care practices and had access to training which kept their skills up to date.

 

 

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