Random inspection report
Care homes for older people
Name: Address: Abbey Dean 102 Barnham Road Barnham Chichester West Sussex PO22 0EW zero star poor service 09/02/2009 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: Val Sevier Date: 2 1 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Abbey Dean 102 Barnham Road Barnham Chichester West Sussex PO22 0EW 01243554535 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr David Geoffrey Dean, Mrs Laramie Dean care home 14 Number of places (if applicable): Under 65 Over 65 14 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 14 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 Date of last inspection Brief description of the care home Abbey Dean is registered to provide personal care for up to fourteen people over the age of sixty-five years (category OP). The building is semi-detached and the accommodation is provided on the ground and first floor. The accommodation is single rooms that have en-suite facilities with a toilet and hand basin. A passenger lift is
Care Homes for Older People Page 2 of 8 0 9 0 2 2 0 0 9 Brief description of the care home provided to the first floor. There is a lounge, conservatory and dining room on the ground floor. There are well kept gardens with lawns and walkways that are accessible. Mr and Mrs Dean own Abbey Dean. Mrs Dean is the registered manager responsible for the day-to-day management of the establishment. The fees for the home at the time of the visit were #495 per week. Care Homes for Older People Page 3 of 8 What we found:
During the site visit of May 21st 2009 between 08:30 and 11:30 we found evidence and documentation to support the written evidence from the home that the service had met the Statutory Requirement Notice (SRN) issued following the inspection on 9th February 2009. The SRN was issued as a result of the visit where we found that requirements for action in the following areas: care planning, risk assessments and staff recruitment, had not been met. You were required to: 1. Undertake assessments of all current service users to identify risk, and update care plans to detail action to be taken to minimise those risks. 2. Have an ongoing system in place that will ensure that any risks to the health, safety and welfare of service users are identified and clear action plans put in place to ensure that these risks are minimised. 3. Have a system in place for ensuring that all service users are provided with a written plan of their care which will help to ensure that staff have information and guidance they require in order to fully meet the service users needs. 4. Have in place a system to ensure that the written plan of care is kept under review and revised as and when required to meet service users changing needs. 5. Have a system in place to ensure that no care staff member starts working in the home until you have obtained in respect of that person all the information and documents specified in paragraphs 1 - 9 of Schedule 2. Where you have evidence that you have applied for a CRB check and you have received a satisfactory POVA First check the new worker may start working providing you have appointed an experienced member of staff to supervise until a satisfactory CRB check is returned. The new worker must escort service users away from the care home premises unless accompanied by the staff member. We found that the requirements had been met through evidence in the following: We looked at care plans of four people we had seen when we visited in February 2009. We found that the risk assessments had been updated in April 2009 and reviewed in May 2009. The risk assessments had identified issues for the individual and there were existing controls and additional information as necessary. We saw that the risk assessments were related to the individuals plan of care. The care plans were seen to reflect individual support needs and preferences with information on how staff can meet those needs. There was a section to record when the GP or other professionals had visited and we saw that care plans had been updated accordingly. Care Homes for Older People Page 4 of 8 Recruitment had been of concern at the last visit in February and we looked at two staff files. One member of staff had been recruited since our last visit and we saw that the recruitment process had been carried out in a timely manner with all relevant checks being in place before the person commenced employment. We saw which stage the home was at with the recruitment process for the second person. The home has established a recruitment checklist which is signed and dated when each stage is achieved. 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 R No £ 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 1 30 13 13 (3) (4) (5) The registered 09/03/2009 person must be able to demonstrate through risk assessment that qualified first aid staff are on duty at all times as described in the CSCI policy guidance: First Aiders To protect staff and people who live at the home. 2 38 23 (4) (d) All staff must receive regular 01/07/2008 fire safety training. 23 (d) The registered 09/04/2009 manager must ensure that there are records kept of fire training. So that the home can monitor satff training in fire safety to protect those that live at the home. 3 38 23 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. 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!
