Random inspection report
Care homes for older people
Name: Address: Old Gates Nursing & Residential Home Livesey Branch Road Feniscowles Blackburn Lancashire BB2 5BU two star good service 04/02/2010 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: Graham Oldham Date: 0 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Old Gates Nursing & Residential Home Livesey Branch Road Feniscowles Blackburn Lancashire BB2 5BU 01254209924 01254200948 Telephone number: Fax number: Email address: Provider web address: www.bupa.com Name of registered provider(s): Name of registered manager (if applicable) BUPA Care Homes (CFHCare) Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 90 Number of places (if applicable): Under 65 Over 65 0 90 0 dementia old age, not falling within any other category physical disability Conditions of registration: 90 0 90 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 categories: Old age, not falling within any other category - Code OP, Physical disability - Code PD, Dementia Code DE. The maximum number of service users who can be accommodated is: 90. Date of last inspection 0 4 0 2 2 0 1 0 Care Homes for Older People Page 2 of 8 Brief description of the care home Old Gates Nursing and Residential Home is owned by BUPA Care Homes Limited. The home provides long stay and respite care for up to 90 adults who require help with personal care or who have nursing care needs. The home is a purpose built, single storey building. It comprises one reception area and three separate houses. Holly House accommodates people with nursing and personal care needs. Rowan House accommodates people who have a diagnosis of dementia and Cherry House accommodates people who require assistance with personal care. Each house has its own lounge/dining area and small kitchen. There are 30 single bedrooms in each. The bedrooms do not have en-suite facilities but there are sufficient bathrooms and toilets close to bedrooms and communal areas. Old Gates is situated in a residential area, close to local amenities, including a Post Office, churches, public houses and shops. It stands in landscaped grounds with several garden and patio areas. There are adequate car parking spaces. An information pack about Old Gates is sent out to anyone making enquiries about the home. The latest Commission for Social Care Inspection report is on display in the foyer and copies are available from the manager on request. The weekly fees are varied and will be given upon enquiry but follow the social services fee structure. Additional charges were made for hairdressing, newspapers and toiletries. Care Homes for Older People Page 3 of 8 What we found:
This unannounced random inspection was conducted due to several concerns raised by various professionals and specifically looked at staff numbers, staff training, cleanliness and free from offensive odours. At 7:30am 6 people who used the service had been got out of bed by night staff. The number rose to 8 by 8am. Two members of staff said that three people who were up had done this by themselves. Both staff said nobody had got up who did not want to. Times of getting up were recorded in plans of care and the quality consultant who was supporting the home to improve said she would look into this as part of her role. Both members of the night staff said that one person who was cared for on a 1-1 basis during the day had caused staff to be diverted from their tasks during the last few nights. Staff appeared to be concerned that although they worked hard they were rushed to complete plans of care or meet the needs of others when this occurred. Staff were varied in their views to staff training. Some staff felt they received sufficient training and others thought they may benefit from specific training such as for management. The registered manager said a lack of training had been an issue under the previous manager and highlighted her plans which should ensure there is a well trained staff group to meet the needs of people who used the service. One trained nurse said On the day of the inspection one unit was a member of staff short. Staff confirmed that the situation had improved over the last week. Both of the other units said there was sufficient staff unless somebody was moved from one unit to another. The registered manager confirmed staff were transferred from one unit to another and she was recruiting more staff to try to run at a slightly higher level (15 ) to cover for sickness and absenteeism. 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 4 of 8 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 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. 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!
