Inspection on 08/12/09 for St David`s Nursing Home For Disabled Ex-servicemen and Women
Also see our care home review for St David`s Nursing Home For Disabled Ex-servicemen and Women for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 8th December 2009.
CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
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
The home has a intermediate care unit which is well managed and residents are enabled to maximise their independence. Care planning and risk management on the intermediate care unit are well managed with evidence of input from the resident and their representative. Staff care for residents in a gentle and professional manner, respecting their privacy and dignity. The activities provision at the home is excellent and is based on residents interests and abilities.The home has a full activities programme to meet residents individual and group needs. All the activities staff must be commended for providing an excellent service. The home has an open visiting policy and visiting is encouraged. Information regarding advocacy services is available. The meal provision is excellent and offers choice and variety to meet residents individual needs and preferences. The home has a complaints procedure and complaints are dealt with appropriately. Safeguarding adults procedures are in place and are followed, and any issues are reported. There is an ongoing programme of redecoration and refurbishment. The home provides a good standard of accommodation. The grounds are well maintained.The home has policies and procedures in place for the management of infection control. The home is well staffed to meet the needs of the residents. NVQ training in care and other training in topics relevant to the care of the residents is ongoing to provide staff with the skills and knowledge to care for residents effectively. There are good systems in place for the recruitment and vetting of new staff. The Manager has the qualifications and experience to run the home. Monies held on behalf of residents are being managed and are securely stored.
What has improved since the last inspection?
We found that there had been an improvement in the completion of pre-admission assessments prior to the resident entering the home. There has been an improvement in the completion of care plans, however we still found shortfalls at this inspection and they have been commented upon in the section below. There has been an improvement in the management of medications, with the introduction of auditing processes. However, some shortfalls were identified in medication management and are commented on in the section below. Bedrail risk assessments were being completed and consents were being obtained. We noted some improvements in the management of records, however further work and monitoring is required in this area.
What the care home could do better:
We identified areas where it was clear that work had been done following the last inspection, however shortfalls still identified show that more work is needed to bring these areas up to a good standard. On the general nursing unit and on Lord Mark unit some care plans were still very general and did not fully identify the needs of the resident. For some residents on the general nursing unit moving and handling, continence and nutritional assessments were not available. Where they were available they were brief and generalised. Shortfalls were identified with the secondary dispensing of medication on the intermediate care unit. Concerns were raised with the management of warfarin and controlled drug patches. Some work has been done to find out information regarding the wishes of residents in respect of their care in the event of health deterioration and end of life care needs, however further work is needed in order to ensure all residents are offered the opportunity to express their wishes and to have them discussed, recorded and respected. There have been some improvements in the auditing of medication and care plan audits are also taking place. With the care plan audits we suggested that there is a clear system in place for addressing the shortfalls identified. It is essential that these auditing systems are more robust that there is ongoing monitoring of all aspects of the home and any shortfalls can be identified and addressed without delay. Ongoing monitoring and further improvements must be made in the area of record keeping. Not all staff had undertaken health and safety training to include moving and handling within the required timescale. From the records viewed it was not clear that all staff to include night staff had undertaken fire drill training. Shortfalls were also identified with the testing of the fire alarm system. Dorgard door closures were not always functioning and we recommended that all dorgard equipment be reviewed. It has been necessary to partially re-state some of the requirements from the last inspection, as they had not been fully met.