Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Northfield 85 George Street Ryde Isle Of Wight PO33 2JE zero star poor service 22/09/2008 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: Annie Kentfield Date: 1 1 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Northfield 85 George Street Ryde Isle Of Wight PO33 2JE 01983562064 01983562064 northfieldresidential@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Anthony George Kingsley Carlyle Obeyesekere,Mrs Pauline Edith Obeyesekere care home 24 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 0 4 0 21 24 3 0 0 dementia dementia mental disorder, excluding learning disability or dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category old age, not falling within any other category physical disability physical disability physical disability Conditions of registration: Care Homes for Older People 0 24 0 24 0 0 0 24 1 Page 2 of 9 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Dementia - DE Mental Disorder, excluding learning disability or dementia - MD Physical disability - PD The maximum number of service users who can be accommodated is: 24 Date of last inspection Brief description of the care home Northfield is a care home for up to 24 older people. The home is a large 3 storey detached property with a ground floor extension. It is located close to the centre of Ryde and within walking distance of the sea front, ferry, rail links and shops. There is off road parking at the front of the home. Access for those with a physical disability or mobility problem is possible as the home has a passenger lift and stair lift from the street to the front door. The passenger lift, however, does not serve those residents accommodated in the ground floor extension and there are steps from the ground floor extension to the lift. At the rear of the home there is a large conservatory, which leads onto the garden. The current scale of charges is £369.25 - £452.41 per week. There are additional charges for chiropody, hairdressing, toiletries, newspapers and transport. 2 2 0 9 2 0 0 8 Care Homes for Older People Page 3 of 9 What we found:
We made an unannounced visit to the home on 11 December 2008. The visit was to monitor compliance with a statutory requirement notice that we issued on 14 November 2008. The notice required the service to have in place by 1 December 2008 a fully operational call bell system available to residents in their bedrooms and in all communal areas. In addition, the service was required to demonstrate by 1 December 2008 that the home has in place a system to make sure that all notifiable incidents and accidents that affect residents, (a legal requirement) are reported to the commission without delay. The inspection visit of 11 December was with two inspectors (Mark Sims and Annie Kentfield) and lasted for 6 hours. We looked at all of the accident and incident records in the home and 6 of the individual care plans. We also looked at the records for the testing and servicing of the call bell system and tested the system during our visit activating the alarm from a number of different call points. We spoke to the registered manager and a member of staff. We issued the statutory requirement notice because the service had failed to notify us about serious incidents that adversely affected the well being of two residents in the home. On 15 October we received a complaint from a relative that the call bell in a residents bedroom did not work. As a consequence of this and because the resident was unable to call for help from staff in the home, they had been put at risk. We also received a complaint about another incident in the home affecting another resident and the homes failure to notify us about the incident. Because we had concerns about the safety of residents in the home, we made a referral to Social Services who investigated the concerns under the agreed procedures for safeguarding adults. A safeguarding meeting of 23 October 2008 agreed that action should be taken by the registered manager to review the policy and procedures for notifying incidents affecting the well being of residents, and for the manager to review the policy and procedures for assessing and managing identified risks to residents safety and well being. We inspected the home on 22 September 2008 and because we had concerns about poor practice in the home and the potential risks to residents in the home, we made regulatory requirements with regard to residents care plans, risk assessments, reporting incidents and events in accordance with Regulation 37 of the Care Homes Regulations 2001, and requiring the service to have in place an effective system for monitoring the quality of the service to ensure good outcomes for the residents. On December 11 2008, we tested the call bell system from various points around the home and found the system to be working. However, we found that records in the home for essential maintenance checks are poorly kept and do not demonstrate that there are robust and efficient systems in place to respond promptly to faults in the call bell system. This could put residents at risk if they are not able to ring for staff help when they need it. For example, although the policy of the home is that the call bell system must be checked weekly, the check sheets do not provide evidence that the call bells are systematically checked around the home. When we cross checked the Care Homes for Older People Page 4 of 9 maintenance check list with the defect book, a fault with the call bell system from 15 October 2008, was not repaired until 21 October. The corresponding care plan did not record that the resident had been given the use of a hand bell (although we were told that this had been done). The home have changed the service contract for the call bell system to a new company and we found evidence that the call bell system is serviced annually and saw a number of invoices for repairs. The registered manager has introduced a new system for recording any incidents that affect residents living in the home - an Incident and Untoward Incident Log. In addition the manager has introduced a new daily report sheet for each indiviudal care plan, however, only 6 care files have been reviewed and 14 care files are still awaiting review. The manager has put into place a system to ensure that any events that affect people living in the home are reported without delay to the Commission. The service has met the requirements of the statutory requirement notice. However, the service must sustain these improvements and ensure they are embedded in practice in the home for the benefits of people using the service. 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 9 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 7 13 Risk Assessments must 08/11/2008 consider all areas of potential risk to people. A persons ability to selfmedicate must be assessed to ensure they can both physically and mentally manage the process. 2 7 15 The service user plans are not being updated and reviewed accordingly and care planning needs not identified. Staff require accurate information about peoples care needs and how these are to be met. 05/12/2008 3 31 24 The manager must ensure 05/12/2008 that care plans and risk assessments are regularly reviewed, updated and needs appropriately identified and documented. The manager is responsible for the day-to-day operation of the service and ensuring people receive approrpiate care and support. 4 33 24 The manager must ensure the home has an effective quality assurance system in place. 05/12/2008 Care Homes for Older People Page 6 of 9 The services quality auditing system must ensure that peoples health and social care needs are being meet. Care Homes for Older People Page 7 of 9 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 1 23 Ensure that the records for weekly tests of the call bell system are thorough and up to date. Care Homes for Older People Page 8 of 9 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 9 of 9 - 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!