Random inspection report
Care homes for older people
Name: Address: Partnership In Care, Sherrington House 71 Sherrington Road Ipswich Suffolk IP1 4HT two star good 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 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: Tina Burns Date: 0 6 0 9 2 0 1 0 Information about the care home
Name of care home: Address: Partnership In Care, Sherrington House 71 Sherrington Road Ipswich Suffolk IP1 4HT 01473464106 01473464107 sherh.tpic@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Sonia Sherwood Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Partnership in Care Limited care home 44 Number of places (if applicable): Under 65 Over 65 33 44 0 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 5 One place in the category of DE(E), is to accommodate and provide care for one named person, as stated in the application of September 2005. Date of last inspection Brief description of the care home Sherrington House is registered to provide care for 44 older people. It is set within a residential development in Ipswich, close to shops and the main town. The town offers a range of facilities including cinemas, public houses, restaurants, shops, swimming pool, and a library and has good rail, bus and coach transport links.
Care Homes for Older People Page 2 of 9 Brief description of the care home The home is divided into 4 areas called units. Each unit has their own lounge, dining room, communal bathroom and toilets. All bedrooms are single, and have a wash hand basin, 2 also have en-suite toilets. Residents can access all areas of the home by stairs or passenger lift. The large garden has seating areas, and there is car parking to the front and rear of the home. The home is a non-smoking home. Fees at the time of the last inspection started at £450.00 per week. The fees are reviewed in March each year. Care Homes for Older People Page 3 of 9 What we found:
This was an unannounced random inspection that we carried out following some information we received from the local authority about a safeguarding investigation. The safeguarding investigation raised concerns about the personal care provided to one resident, particularly regarding hydration, pressure area care and continence care. The information we have confirms that the service was open and co-operative throughout the investigation and agreed to a number of action points to address identified areas of weakness. This short focused inspection took place to look at the personal and health care of two other residents, with similar needs, so that we could have an up to date and broader picture of the care provided at Sherrington House. This visit was undertaken by Compliance Inspectors, Tina Burns and John Goodship. We looked at paper and electronic records relating to two residents, including pre admission assessments, risk assessments, care plans and daily records. We also met and spoke with both residents, the registered manager and a district nurse who was at the home at the time of our visit. The residents care plans were maintained electronically but current copies were printed and kept in their rooms. This made them easily accessible to their carers. The daily records were compiled by carers on a secure computerised system. Pre admission assessments completed by the home, together with hospital or social services assessments were kept as paper documents in a separate file. We saw risk assessments for falls, bed rails, malnutrition and safeguarding. Care plans covered aspects of care such as Personal Care, Social, emotional and psychological well being, nutrition, mobility and end of life care. Some of them had been written or updated recently to reflect changes in the residents health and others were clearly out of date, for example the mobility and falls risk assessment for a resident now bed bound and receiving palliative care. The care plans we looked at for personal care were specific and person centred. In contrast the care plans for psychological well being were written with general statements and gave little guidance to staff. The manager acknowledged this and assured us that it would be tackled with training planned later in the month on records and documentation. The nutrition care plan we saw had been written after a malnutrition assessment identified the resident as high risk and urgent action was needed. The record showed that they had been referred to the GP who had called the dietitian. The dietitian had given advice on diet and feeding and carers mostly recorded details of food and fluid intake. The resident receiving palliative care looked clean and comfortable in their bed. The GP had recently reviewed their pain relief and they confirmed that they were not in pain. Entry to their room was protected by a stair gate following the unwanted access by another resident. The care plan of the resident not requiring bed rest told us that they are encouraged to take their meals in the dining room and there are no concerns about their nutritional intake. When we met them they were in the dining room eating a hot meal consisting of
Care Homes for Older People Page 4 of 9 meat, potatoes and two vegetables. The meal looked healthy and appetising, they were eating without assistance and appeared to enjoy it. They appeared clean but unshaven and groomed. Their care plan told us that they required assistance with shaving. The daily records said that personal care had been provided but it did not specify whether a shave had been offered. It was also noted that their care plan included pressure area care such as turning at night, application of creams and monitoring fluid intake. In contrast the daily records mostly confirmed that these tasks were carried out. We spoke with the district nurse who was visiting at the time of our inspection. They confirmed that the home has a visit everyday by one of their team and the two residents we tracked are currently receiving treatment from them. They told us that one of them was referred by the home after sustaining skin tears and the other with a pressure sore. They said that the pressure sore was a little more advanced than they would expect, which is unusual as the home is usually very alert at recognising and reporting early symptoms. They spoke with high regard for the home and they confirmed that they had no concerns about the quality of care provided by the home. They told us that they had a good working relationship and the home consistently sought and acted on their advice about health matters. The district nurse communication book provided good evidence of this. The manager was welcoming, open and highly co-operative. We spoke with them about the quality of care plans, risk assessments and daily records. They said that they were confident that people at the home received good care but they were conscious that this wasnt always evident in the documentation. Since the recent safeguarding matter they confirmed that they had been focusing on improvements to care notes, care plans and risk assessments and this was ongoing. They told us that training had taken place for senior care staff and was planned for carers later in the month. They also said that they had recently struggled without administrative support and a deputy manager but this was now resolved and they felt more equipped to address areas of weakness. They said that they would start with a full audit of care plans and risk assessments and this would be completed within a month. What the care home does well: What they could do better:
We have not made any requirements or recommendations at this inspection because we found that peoples needs were met overall. Where there were weaknesses these were being acknowledged and addressed. The manager assured us that they have an agenda for action that includes a full audit of all care plans and risk assessments. This should ensure that people are appropriately
Care Homes for Older People Page 5 of 9 safeguarded and their care plans fully reflect their needs and specify the tasks required to meet them. The manager has also confirmed that staff will receive further training in recording and person centred care planning. 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 9 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 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, 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 8 of 9 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 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!
