Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Fanshawe 53 Hooe Road Hooe Plymouth Devon PL9 9QS one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Kim Fowler Date: 2 0 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Fanshawe 53 Hooe Road Hooe Plymouth Devon PL9 9QS 01752481663 01752482775 fanshawe@talktalk.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : R.M.J.J. Healthcare Ltd care home 23 Number of places (if applicable): Under 65 Over 65 3 23 old age, not falling within any other category physical disability Conditions of registration: 0 0 The registered person may provide the following category of service only: Care home with nursing- Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Physical disability over 65 years of age- Code PD(E) Old age, not falling within any other category- Code OPmaximum 3 places The maximum number of service users who can be accommodated is 23. Date of last inspection Brief description of the care home Fanshawe Nursing Home, is owned by Mr Bassett as R.M.J.J Healthcare Ltd. And is situated in Hooe, Nr Plymstock. Plymouth. Originally a Victorian house it has been modernised and extended. The accommodation comprises of 11 single bedrooms and 6 double rooms. There is a passenger lift providing access to both floors.The communal Care Homes for Older People
Page 2 of 8 Brief description of the care home areas are on the ground floor including a lounge, a small lounge adjacent to the dining room and a conservatory. There is access to a small patio area. The home provides nursing and personal care to a maximum of 23 people. The fees range from 484 pounds to 605 pounds. These may vary depending on peoples individual needs. Care Homes for Older People Page 3 of 8 What we found:
We looked at the issue found during the full inspection that not all pre-admission assessments had been completed in full. Mr. Bassett, the owner, felt that two of the previous files we looked at during the full inspection carried out in October did hold completed Pre-admission assessments. On closer examination these files showed that both formats used for admission were different and one showed that one form was not completed with full detail. One form used was comprehensive in detail giving the home clear information on the care needs of the new admission. The other format did not provide the home with detailed information and some areas were not completed. However Mr. Bassett now plans to talk to the RITA team to ensure that one format is used and that all areas of the form are completed to provided the home with full details of care tasks required to met the new admission needs. Several care plans were examined and showed that the home had introduced more detailed information on each care plan and were individualised to meet individuals needs. This included comprehensive details needed to meet each persons needs and highlighted any issues that required further input including any pressure areas highlighted and in one case a person who is diabetic and how this is now managed. Mr. Bassett confirmed that issues raised during the full inspection about the medication error had been dealt with. Mr Bassett had spoken to all qualified nurse and gone through the medication policy and procedure for the home. The home has also introduced MARS (Medication and Record Sheets) to ensure continuity of the medication prescribed. Mr.Bassett also stated that the pharmacist would be completing these MARS records and would be sent to the home with the monthly medication. We looked at the issues raised under Complaints and Protection. Mr Bassett pointed out one issue highlighted in the main inspection report for October was under the previous owner, one issue was not. This issue was looked at and discussed in more detail with Mr. Bassett. It was agreed that this issue should have been reported to the police and safeguarding team. However the recording of the information in the complaints book could lead to confusion. This complaint was not clearly recorded showing clearly what had happened no clear outcome for the complainant. What the care home does well:
The care plans now hold more detailed information transfered from the pre-admission assessment to ensure all health care needs of individuals are recorded and met. The placing authority is currently supporting the home to update their care plans. The home has employed a new manager who has many years experience in care and running a home. The manager was able to show that the care plans examined provided information to the staff to meet the needs of the individual in the home. The home now uses the chemist MARS records for all medication and not hand written medication records as stated at the previous full inspection. The new manager has experience in safeguarding issues and is aware of what issues Care Homes for Older People
Page 4 of 8 would need to be referred to Safeguarding or the appropriate agency. 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 requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14 New admissions to the home 31/03/2009 would benefit from a completed pre-admission assessment. This would ensure the home is able to meet the needs of new admissions. 2 7 15 Care Pans must be completed with individual needs recorded, including how these needs would be met. This would ensure that each person living in the home would have these needs managed. 31/03/2009 3 9 13 All medication must be recorded and administrated correctly. This would protect people living at the home. 31/03/2009 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, Care Homes 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 CSCI 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 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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!
