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Inspection on 07/05/10 for Ivybank

Also see our care home review for Ivybank for more information

This is the latest available inspection report for this service, carried out on 7th May 2010.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a random inspection and therefore not all the standards were assessed. People told us they liked living at the home. They said, " I am happy living here." "The nurses are beautiful." One person said there were always staff around at night to help them if needed so they did not feel on their own.

What the care home could do better:

This is a random inspection and therefore not all the standards were assessed. The manager must risk assess to ensure that there are always staff on duty who are competent to administer first aid to the people living there if needed. The shower room on the ground floor must be refurbished so that it is clean and comfortable for people to use.

Random inspection report Care homes for older people Name: Address: Ivybank 73-75 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AG one star adequate service 18/11/2009 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: Sarah Bennett Date: 0 7 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ivybank 73-75 Middleton Hall Road Kings Norton Birmingham West Midlands B30 1AG 01216243006 01216243581 ivybank@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Southern Cross BC OpCo Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 58 Number of places (if applicable): Under 65 Over 65 58 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 58 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Old Age, not falling within any other category, Code OP - maximum number of places 58 Date of last inspection Brief description of the care home Ivybank Nursing Home is a large traditional property, which has been further extended to provide accommodation for 58 older people who require nursing care. However, several bedrooms are not accessible to people who have mobility difficulties so until Care Homes for Older People Page 2 of 8 1 8 1 1 2 0 0 9 Brief description of the care home this can be achieved only 35 people can be accommodated there. The home is located in a residential area of South Birmingham and is close to local amenities. The home is conveniently situated for public transport and off road car parking is available for several cars. The home has been established for a number of years however was acquired by Southern Cross Healthcare in November 2007. Accommodation is provided in both single and double rooms. En-suite toilets are provided in 24 rooms, and two en-suite shared rooms are available. The bedrooms are on two floors and a passenger lift is available to all floors. Sufficient communal space is provided with lounges and dining rooms and there is a large garden to the rear of the home, which is accessible to people via a ramp. The home has a number of hoists and pressure relieving equipment available to meet the assessed needs of the people living at the home. There are assisted toilets and bathrooms available and corridors are wide and spacious to enable people to move around the home freely with any aids they require. Inside the home, there are various notice boards, which display information about forthcoming events and other articles that may be of interest. The last inspection report is available in the reception area and this enables people living at the home or visitors to the home to access this information easily. The current scale of charges for the home were included in the service user guide and updated information on these can be obtained directly from the home. Additional costs include, hairdressing, toiletries, chiropody and newspapers. Care Homes for Older People Page 3 of 8 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was completed on 18th November 2009. This random visit was undertaken by one inspector over three hours. There were 33 people living there. The home did not know we would be visiting that day. The reason for this visit was to check compliance with the requirements made at the key inspection. During this visit we looked at staff training records, particularly relating to first aid and visits by a representative of the provider. We spoke to the manager, two of the people living there, the deputy manager and seven staff. These are our findings: The manager told us that only nine out of forty three staff had completed training in first aid. The manager gave us an updated print out of training statistics that showed that fourteen of forty three staff had completed this. However, two of these staff had completed this in March 2006, so this would now need to be updated. Five of the seven staff spoken to said they had completed training in first aid since working at the home and this had been recently. Care and ancillary staff told us that if a person living there had an accident they would keep the person calm and call the nurse on duty for assistance. Training statistics given to us at the time showed that only two of the eight nurses had received first aid training. We were concerned that the requirement relating to first aid training, which stated that adequate numbers of staff must receive training in first aid had not been met within the required timescale. This could put the people living there at risk of harm. Following our visit the manager wrote to us and stated that the training statistics provided when we visited were not accurate. The manager stated that twenty of the forty one staff had received this training. The manager attached an updated copy of the training statistics which confirmed this. Two of these twenty staff completed this training in March 2006 so would now need updated training in this. The updated record showed that four of the eight nurses had completed this. The manager will need to risk assess that this is sufficient to ensure that there is always a competent first aider on duty, as staff said they would call the nurse for assistance. When we last visited the manager was suspended pending investigation. The manager had returned to the home on 8th March this year and is in the process of making an application to be registered with us. This is good as it shows her commitment to the home. This home has not had a registered manager since southern Cross became the provider in 2007. Staff spoken to said that the constant change of managers had caused instability in the home and were pleased that this had now been resolved. Staff said that they found the manager to be supportive and that changes being made were in the best interests of the people living there. Care Homes for Older People Page 4 of 8 During the visit we looked at the shower room on the ground floor. The flooring was worn and damaged and in need of replacing. There was only one row of tiles at the bottom of the wall, which meant that as water went on to the wall every time the shower was used, that the decoration of the wall was worn. The tiles that were on the wall were dirty and could put people at risk of cross infection. The shower hose was worn and needed replacing. The extractor fan was very small and staff said that it did not work so there is no flow of air in and out of the room, which causes condensation and a musty smell. A bath was in the same room but was removed a few years ago. The pipes to the bath were still on the wall and there was a hole in the floor from where the bath had been taken out. There was nowhere to put the shower hose on so staff have to hold this over people when assisting them. This makes it difficult to assist people and can be frightening to have another person controlling the flow of the shower. The shower room needs refurbishing to ensure that it is comfortable, people are not at risk of cross infection and their dignity is maintained. 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 £ No R 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 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 27 23 The shower room on the ground floor must be refurbished. So that people can have a shower in a comfortable and clean environment. 30/09/2010 2 35 13 The manager must risk assess to ensure that there are always competent staff on duty to give first aid if needed. To ensure that people get the help they need to ensure their well being. 18/06/2010 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 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. 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