Random inspection report
Care homes for older people
Name: Address: Castle Park 176 Siddals Road Derby Derbyshire DE1 2PW one star adequate service 13/10/2009 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: Rose Moffatt Date: 2 3 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Castle Park 176 Siddals Road Derby Derbyshire DE1 2PW Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Modelfuture Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 0 To allow Castle Park Care Home to accomodate two named individuals under the age of 65 years in the category of physical disability Date of last inspection Brief description of the care home Castle Park is a purpose built care home providing personal and nursing care for up to 40 older people. There are four floors to the building. The basement houses a car park and laundry. On the ground floor is an administrators office, lounge, bathrooms and bedrooms. On the first floor are bedrooms, bathrooms and a lounge. The second floor has offices, bathrooms, lounges, dining rooms and the kitchen. This floor also has a roof top garden and conservatory. Most of the bedrooms are single occupancy and ensuite, although there are a small number of shared bedrooms.
Care Homes for Older People Page 2 of 10 1 3 1 0 2 0 0 9 Brief description of the care home There are no ground floor outdoor areas. However, there is a public park next to the home with gardens that people can access. The home is located in Derby, with excellent transport links and access to all the amenities of Derby city centre. The weekly fees at the time of this Inspection ranged from £385.00 to £605.00 per week. Copies of CQC / CSCI inspection reports are on display in the foyer and also available from the staff office. Care Homes for Older People Page 3 of 10 What we found:
We carried out an unannounced inspection visit over 5 hours on 23/02/2010. We carried out this inspection following concerns raised during recent safeguarding vulnerable adults procedures involving people living in the home. The inspection focused on: the assessment of the manual handling needs of people in the home and how those needs were met by care planning and staff training; staff recruitment and induction; staffing levels; management of the home; repairs and maintenance of manual handling equipment and wheelchairs. We looked at the care records of people in the home, staff records, and maintenance records. We spoke with people in the home, a visitor, staff, and the acting manager. We looked at the care records of 4 people in the home who all had limited mobility and required manual handling by staff. We found that there were manual handling assessments in place for all 4 people. 2 of these were completed in the new documentation being introduced in the home. 1 had not been completed in the new format, but had been updated in the persons old file after changes in their needs in October 2009. However, this assessment had not been reviewed since November 2009. The fourth person had an assessment started but not completed in the new format. The assessment in their old file had not been updated with a change in their needs. The nurse in charge had started to complete the new assessment for this person before the end of the inspection visit. We found that each of the 4 people had relevant care plans in place regarding their safety and mobility. The care plans had sufficient detail of the assistance required and the equipment to be used. Not all of the care plans had been completed in the new format. People told us staff were competent in giving assistance with manual handling. They said staff were experts in using the hoist, and they know what to do. We found that staff had sufficient knowledge of individual needs regarding manual handling. All except 3 of the care staff had received manual handling training in the last 12 months. The acting manager confirmed after the inspection visit that these 3 members of staff would have the training on 26/02/2010. Staff told us that the quality of training in February 2010 was superior to that of earlier training. They said the more recent training was useful and relevant. A new lifting hoist had been provided since the last inspection so there were 2 hoists available. Staff said this was sufficient for the number and needs of people currently in the home. They said they would like a standaid type hoist to be provided as they thought this would be of benefit for some people in the home. We saw records that showed the 2 hoists in use had been serviced and all the slings in use checked in January 2010. We spoke to the maintenance person at the home who told us the wheelchairs had all been checked and repaired, or disposed of, in February 2010. This included ensuring all foot-plates had been re-attached and footplate straps replaced as necessary. We looked at the staff rotas for February 2010. We found that there were 2 registered
Care Homes for Older People Page 4 of 10 nurses on each day time shift throughout, with agency nurses used on most days. The acting manager told us that 2 nurses and a care assistant had been recruited very recently and were awaiting the required checks before commencing work at the home. The acting manager said that once the 2 nurses could start, there would be no need for regular use of agency nurses, and that all staff vacancies were now filled. The rotas showed that there were 4 or 5 care assistants on duty for the morning shifts, and 4 for the afternoon shifts. There were 2 occasions when there had been 3 care assistants for the afternoon shifts in February. Staff said staffing levels were sufficient to meet the needs of people currently in the home. People told us staff were always available when needed. A visitor said there was always at least 1 member of staff in the main lounge when they visited. We observed that there appeared to be sufficient staff available at lunchtime to transfer people from the lounge to the dining room. We looked at the records of 4 staff employed at the home. All the records had the required documents, such as Criminal Records Bureau disclosures and 2 written references. 1 file did not have a full employment history on the application form, but this was addressed during the inspection visit as the member of staff was on duty. There was no formal induction programme for new staff at the home. Staff training records showed that most staff were up to date with required training in manual handling, health and safety, and food hygiene. All staff were due for training in fire safety and this was planned for 01/03/2010. Training was planned on 24/02/10 and 25/02/10 in nutrition and infection control. Approximately half of the staff employed had not received training in safeguarding vulnerable adults in the last 12 months. The acting manager said this was planned for the week commencing 01/03/10. A requirement made at the last inspection that staff must all receive training in mandatory subjects had been partly met by the training carried out and planned. As there were still some gaps in training, we have repeated this requirement in this report with a short extension to the timescale. The acting manager had been in post for approximately 6 months. She had previously been the deputy manager at the home. She told us she had started the application process to be registered with CQC. The acting manager said that management support from the providers was not always effective and timely. People told us they liked the acting manager and were confident she would take appropriate action to address any concerns raised. Staff told us the manager was approachable and listened to staff concerns. The manager said that quality assurance surveys had recently been sent out to people in the home and their relatives. She said she planned to send out surveys before the end of February to healthcare and other professionals involved in the care of people in the home. We saw records of visits from the area manager for the provider with reports made as required under regulation 26. The visits had been made monthly and included comments from people in the home and from staff. The report for the January visit included an
Care Homes for Older People Page 5 of 10 action plan to address recent issues raised around care plans and staff training. We found there were satisfactory records of accidents/incidents in the home since the last inspection. There was no audit carried out of accidents in the home to identify any trends or common issues. The acting manager said she had not yet received training from the provider on how to carry out these audits. 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 6 of 10 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 3 14 People must have their needs assessed upon admission to the home. This must be completed by 15.10.2009 This is to ensure that care needs are not overlooked and to keep them safe. 26/10/2009 2 7 15 Care plans must be completed in full and demonstrate consultation with the person themselves. Entries must be dated and signed. This is to ensure people are fully involved in their care, that they are contemporaneously recorded and that care needs are not overlooked. 31/12/2009 3 7 15 All people living at the home 26/10/2009 must have a care plan and risk assessments in place as soon as is reasonably practicable. A timescale of 15/10/2009 was given for this to be met. This is to ensure people are kept safe and that no care need is overlooked. Care Homes for Older People Page 7 of 10 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 4 9 13 (2) Medication records must 26/10/2009 accurately reflect numbers of medications in the building and what medications people have actually received. This is to ensure people get the medications they need. 5 24 23 e) People must be consulted 31/01/2010 about their requirements regarding door locks and personal lockable space within bedrooms. These must be provided consistent with their requirements and outcome of any risk assessment undertaken. This is to ensure privacy and choice within the home. 6 30 18 1) Staff must all receive training in mandatory subjects. This is to ensure people are cared for by suitably trained staff. Previous timescale for this requirement was 31/01/2010. As this requirement has been partly met, we have allowed a short extension in the timescale. If this requirement is not met by the new timescale we will take enforcement action. 31/03/2010 Care Homes for Older People Page 8 of 10 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 7 15 All care plans must be kept under regular review. This will ensure that peoples changing needs are known and met. 31/03/2010 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 7 All care plans and assessments should be reviewed and updated at least monthly to ensure that peoples changing needs are recorded and fully met. All new staff should have an induction that meets Skills For Care standards. This will help to ensure that staff are trained to national standards and are competent to do their jobs. There should be regular audits of accidents in the home. This would identify any trends or common themes so that action can be taken to reduce the risk to people in the home. 2 30 3 38 Care Homes for Older People Page 9 of 10 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 10 of 10 - 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!
