This is the latest available inspection report for this service, carried out on 7th April 2010.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Ambleside Residential Home 69 Hatherley Road Cheltenham Glos GL51 6EG one star adequate service 21/10/2009 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: Adam Parker Date: 0 7 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Ambleside Residential Home 69 Hatherley Road Cheltenham Glos GL51 6EG 01242522937 01242522937 pepwalsh@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) James Christopher Walsh,Perpetual Walsh Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 18 Number of places (if applicable): Under 65 Over 65 18 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 18. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Ambleside is a large, detached, Victorian house that has been extended and adapted to provide accommodation for older people. It is situated in a residential area of Cheltenham close to a few shops and the bus route into town, which is approximately a
Care Homes for Older People Page 2 of 8 2 1 1 0 2 0 0 9 Brief description of the care home mile away. The railway station is within easy reach, together with a number of churches. The accommodation is located on three floors that are all served by a shaft lift and stairs. All the bedrooms have en-suite facilities, approximately five have a bath or shower. There are three bathrooms two of which have hoists. Ground floor communal facilities include a dining room and two lounges one of which has a piano. The lounge at the rear of the property is an extension of the main building and gives an all round view of the large landscaped garden. A patio area provides a pleasant place for service users to sit in warmer weather. The provider supplies information about the home, including the most recent CQC report to current and prospective residents on request. Information about current fees was not checked at this inspection. Care Homes for Older People Page 3 of 8 What we found:
This inspection took place on 7th April 2010 and was completed by one inspector. A small selection of residents care plans were looked at, these had last been reviewed or rewritten in March 2010. A care plan audit tool had recently been brought into use. This indicated that future care plan reviews should take place on a monthly basis. It was noted that letters about residents medical appointments were no longer being displayed on noticeboards in communal areas. The administration, recording and storage of residents medication was not looked at during this inspection and so the related requirement was not checked and is repeated in this report. Information was on display about activities provided in the home and it was noted that notice boards had been rearranged since the previous inspection to make information on them more easily available. Residents described some of the activities on offer and spoke about how they spent their time. During the inspection visit, a delivery of food was received from a supermarket. Three residents were spoken to about the meals provided. All gave positive comments about the meals with one describing them as very good. Residents also confirmed that they had enough to eat and that choices were available if they did not like any item that was being offered. The provision of meals was discussed with the manager who described how the cooks were working towards providing more fresh produce as well as homemade soups and cakes. This was in order to increase the variety of the meals provided. Areas of the home looked at were clean and well maintained. However there were a number of items stored under the main stairs such as wheelchairs, walking frames and equipment from an old CCTV installation. Accumulation of these items may pose a risk to residents as they are stored next to a corridor. The area should be kept clear of clutter. In addition a number of other similar items were being kept in the front lounge which should be kept clear for the use of residents. At the previous inspection a requirement was made regarding alterations to a residents room to aid their independence. The work had been carried out although the resident had been transferred to a care home with nursing due to their increased needs. Staff rotas were looked at. On some mornings as well as the manager there were two care staff on duty although on other mornings there were three care staff in addition to the manager. It is recommended that in addition to the manager, a minimum of three care staff should be deployed on morning shifts in order to meet residents needs. Other staff in the home consist of a maintenance worker, a cleaner and a cook. The rota also indicated where staff had received training to administer medication. On the rotas looked at all shifts were covered with appropriately trained staff. The manager described how she would be covering one shift at the weekend where there were no trained staff available. Care Homes for Older People Page 4 of 8 Staff recruitment was looked at. Examination of the files of recently recruited staff showed that robust recruitment procedures were in place with all the required information and documentation being obtained before a member of staff started work in the home. Reports of visits made by the registered provider as required by the Care Homes Regulations 2001 were looked at. These reports gave evidence that residents, their representatives and members of staff had been consulted during the visit and also gave information about any complaints received by the home. The latest report was of a visit in February 2010. The manager told us that the report of the most recent visit in March 2010 was being prepared. Notice boards gave details of forthcoming training such as the level two award in food safety in May 2010 for four staff including the new cook. The manager described how all care staff were to be trained in food hygiene and confirmed that both cooks were currently up to date with food hygiene training but one cook was due to renew this and had been booked on the course in May. The local authority had recently carried out a hygiene inspection on the kitchen. This had identified that work needed to be done in a number of areas. The manager described some of the work that had started to address the shortfalls. The home was expecting a follow up inspection. A number of security checks were in place although the home had not completed a security risk assessment. This should be carried out to identify any areas that may need attention. What the care home does well: 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 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 9 13 Residents medication must be ordered in a timely fashion. This is so that residents can always be given the medication that they are prescribed. 31/12/2009 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 1 9 13 Residents medication must be ordered in a timely fashion. This is so that residents can always be given the medication that they are prescribed. 30/04/2010 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 1 15 Continue to look at ways of providing more variety in residents diets by preparing some food items in the home such as soups and cakes. Keep the area under the main stairs and the front lounge free of items of equipment and look to providing more suitable storage arrangements. Maintain three care staff in addition to the manager on morning shifts in the interests of meeting residents needs. Complete a risk assessment for the security of the premises. 2 22 3 4 27 38 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!
