Random inspection report
Care homes for older people
Name: Address: Thornfield Care Home [Ferndown] 434 Ringwood Road Ferndown Dorset BH22 9AY 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: Martin Bayne Date: 1 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Thornfield Care Home [Ferndown] 434 Ringwood Road Ferndown Dorset BH22 9AY 01202861845 01202871443 thornfieldgroup@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Alan David Rose Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Mohammad Ayoob Poordil,Mrs Sindamanee Poordil care home 17 Number of places (if applicable): Under 65 Over 65 17 17 17 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 Thornfield is registered to provide residential care for up to 17 older people with Dementia. The service can also be offered to people with mental health problems. Mr and Mrs Poordil privately own the home. The building is a large family home that has been extended to provide bedrooms on 2 floors. There are 17 single rooms; all have
Care Homes for Older People Page 2 of 8 Brief description of the care home en suite or their own bathrooms. Communal space comprises a large lounge and separate dining room. There is a passenger lift to enable residents to access both floors, although 2 rooms on the first floor are accessible by staircase with a chairlift. The home has car parking space at the front of the property and a large enclosed garden and patio area to the rear. Thornfield is situated on a busy main road, close to local shops, amenities and the public transport network. Care Homes for Older People Page 3 of 8 What we found:
At this random inspection we reviewed the records for the last two people admitted to the home. As part of this review we also looked at how their medication was administered and managed in the home. We reviewed the recruitment records for the last two members of staff to be appointed to work at the home and we also spoke with one of these members of staff. We carried out a tour of the premises and reviewed accidents and notices sent to the Commission. Since the last key inspection we were informed that the Registered Manager had ceased working at the home. Throughout the inspection we were assisted by the acting manager and we also had the opportunity to meet and speak with the Registered Providers. The acting manager is currently applying to the Commission to become the Registered Manager. We found for both residents we tracked through the inspection that prior to being offered a placement at the home they had had a preadmission assessment of their needs carried out to make sure that these could be met at Thornfield. We saw that the preadmission assessments had been recorded on a template that covered all of the topics within the National Minimum Standards and had been signed and dated. Once it had been determined that prospective residents needs could be met at the home, formal arrangements were made for an admission to the home. We saw that once a person had been admitted to the home, further in-depth risk and other assessments had been completed and from these care plans had been developed to inform staff of how to support the resident concerned. We saw that the care plans were being reviewed each month or when their needs changed and that the resident or their representative had been involved in developing the care plans by their signing these documents. We saw both residents in the main lounge who were in clean clothes looking relaxed with the staff, however owing to their mental frailty,they were not able to give an account of what it was like to live at the home. We looked at how medication was managed within the home by looking at the medication administration records, storage facilities and procedures for medication administration. The medication records were completed with no gaps within the recording. We saw that medication had been administered by trained members of staff. We saw good practice of there being a photgraph of the resident concerned at the front of their administration records, a record of any known allergy from which the resident suffered and checking and signing of hand entries on the records by a second member of staff. We saw that the home had suitable storage facilities for medications held in the home, including controlled drugs. At the time of this inspection there were no residents prescribed controlled drugs. We looked around the premises, which were clean and free from adverse odours. Furniture and fittings were in good repair and the home in good decorative order. We saw that residents were able to bring their own possessions and furniture to personalise their rooms. All radiators in the home have been covered to eliminate the risk of residents receiving burns from hot surfaces. Thermostatic mixer valves have been fitted to hot water outlets to also protect residents. Window restrictors have been fitted to windows above the ground floor to eliminate the risk of falls from windows. The home has well
Care Homes for Older People Page 4 of 8 maintained gardens to the rear of the home for the enjoyment of residents. We saw that the home had suitable laundry facilities to meet the laundry needs of the home. We looked at the recruitment records for the last two members of staff recruited to the staff team. We found that all of the recruitment checks had been carried out and the required records in place; such as, the taking up of appropriate references, criminal record bureau check and a check against the register of adults deemed unsuitable to work with vulnerable adults, a health declaration, full employment history with gaps explained and the reason why they left positions of care. We were able to speak with one of these staff, who told us that they enjoyed working at the home, which they thought was well managed. They told us there was a good staff team and that training and supervision were suitably provided. We looked at the accident book, where we found all accidents had been recorded and notifications sent to the Commission as required. We also saw that there is periodic review of accidents as well as incidents that occur in the home with an analysis of these looking for any trends that could reduce falls within the home. 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 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!