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: Suni Chotai Date: 2 2 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 7 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 7 What we found:
We visited the home to check compliance against a statutory requirement notice [SRN] issued relating to medicines management. The service was required to have the following in place by the 20th April 2009: i) Have a system in place to ensure that all people using the service receive their medication as prescribed by their GP at all times with clear documented evidence for medication doses that are changed and a record made of the person authorizing the changes ii) Ensure that complete and accurate records are available in the home relating to each service users medication profile and the administration of medicines and treatments prescribed by their GP at all times. iii)Ensure all guidelines for the administration of medication to service users are clear, up to date and give specific instructions to staff that accurately reflect the support service users require with medication, including that which is prescribed to be taken as required. Our investigations found that the home had met all of the above requirements. All MAR charts checked were accurately completed and gave a clear medication profile and treatment history. Any medicines given only when needed had guidelines for staff giving specific information on the use of these medicines. Any medicines which were self administered had documented risk assessments. Changes made to doses were marked on the MAR charts although on occasions it was noted that this record was not initialed by the person making the record. 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 7 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 5 of 7 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 6 of 7 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 7 of 7 - 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!
