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Inspection on 04/09/09 for Admorre House

Also see our care home review for Admorre House for more information

This inspection was carried out on 4th September 2009.

CQC found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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 is well maintained , the outside of the property has been just been decorated and the front area of the building has been landscaped. The proprietor is planning to install a through floor passenger lift for the benefit of people who are unable to use the stairs. Sky television has been installed for the benefit of service users. A new programme of activities and outings are being introduced so people may be stimulated and access the local community.

What the care home could do better:

The proprietors should introduce change at a pace which will not disrupt the running of the home. Change management should take place in a way that includes management and staff so they are aware of the benefits or why change is taking place. Menus should reflect the choices of foods and likes and dislikes of people living at the home. There should be enough provisions such as meat,fish,bread, home baking or other foods on the premises in order to allow for emergencies in case the daily,weekly shop for food cannot take place.The personal allowances of people living at the home should record regular receipt,at least monthly,of their monies into the home for use by them.

Random inspection report Care homes for older people Name: Address: Admorre House 2 Fountain Head Bank Seaton Sluice Whitley Bay Tyne And Wear NE264HT one star adequate 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: Karena Reed Date: 0 4 0 9 2 0 0 9 Information about the care home Name of care home: Address: Admorre House 2 Fountain Head Bank Seaton Sluice Whitley Bay Tyne And Wear NE264HT 01912376141 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Linda Fairhurst Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Raj Nahal care home 17 Number of places (if applicable): Under 65 Over 65 0 13 2 2 past or present alcohol dependence 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 13 2 0 Admorre House is a residential care home registered to provide personal care to seventeen service users. Nursing care is not provided .The Home is situated on the coast in the village of Seaton Sluice, and is next to a bus route .The house overlooks Care Homes for Older People Page 2 of 9 Brief description of the care home the sea front and is close to the nearby village which has some shops, there are also some pubs and cafes nearby. The building is of an older style and does not provide a passenger lift to the first floor but single bedrooms are available on the ground floor for less ambulant service users. All bedrooms are for single occupancy. There are two lounges and a dining room. There are two bathrooms one which contains bath equipment that can be used to assist with getting in and out of the bath. Other aids and adaptations are available around the home to help more physically dependent people. There is a well-tended garden to the rear of the property. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. CQC inspection reports are also available at the home detailing the quality of care provided. Fees payable for living at the home at the time of inspection in June 2009 are £449. Additional charges are payable for hairdressing, private chiropody, excursions and personal newspapers. Care Homes for Older People Page 3 of 9 What we found: This random inspection was carried out as the result of an anonymous complaint being received which may effect the running of the home. The proprietors were enthusiastic about the changes they were wanting to bring about in order to provide more of a specialist service for people with memory loss. They also talked of the changes they wished to make to ensure the building complied with National Minimum Standards.The proprietor is proposing to install a through floor passenger lift so people living in the home may have access to all areas of the home if they are unable to use the stairs. Changes had been made to menus and to the system for provision of food within the home. The proprietor was keen to introduce a healthy eating programme and was taking the advice of a nutritionist. The system of ordering and supply of foodstuffs had changed the proprietors wishing to purchase more fresh food rather than it being delivered in bulk or deep frozen. The proprietor was shopping for the food at regular intervals and subsequently the deep freezers were almost empty, this meant no food such as home baking, meat or bread were available for emergencies. The personal allowance records of the three people whose monies were looked after by the home did not show regular monthly deposits of their money. What the care home does well: What they could do better: The proprietors should introduce change at a pace which will not disrupt the running of the home. Change management should take place in a way that includes management and staff so they are aware of the benefits or why change is taking place. Menus should reflect the choices of foods and likes and dislikes of people living at the home. There should be enough provisions such as meat,fish,bread, home baking or other foods on the premises in order to allow for emergencies in case the daily,weekly shop for food cannot take place. Care Homes for Older People Page 4 of 9 The personal allowances of people living at the home should record regular receipt,at least monthly,of their monies into the home for use by them. 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 9 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 38 19 A staff photograph and proof 29/07/2009 of staff identity must be kept on staff files. These are required as proof of fitness of the workers in order to protect people living at the home. 2 38 26 The registered provider must 29/07/2009 complete a monthly report on the conduct of the care home. This must be carried out as part of the registered providers legal responsibilities under the Care Homes Regulations 2001. Care Homes for Older People Page 6 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 1 32 12 The management approach 01/10/2009 and running of the home and introduction of changes must maintain good personal relationships with proprietors and management and service users and staff. This is to ensure the smooth running of the home for service users and staff. 2 35 17 A system showing the 01/10/2009 regular monthly depositing of personal allowances for service users must be introduced. This is to protect service users from abuse. 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 1 17 Menus should be maintained taking into account the food preferences of people living in the home balancing healthy eating with their likes and dislikes. Page 7 of 9 Care Homes for Older People 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 2 17 There should be sufficient provisions on the premises to allow for emergencies and for when daily food supplies cannot be obtained. 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. 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