Random inspection report
Care homes for older people
Name: Address: Alston House 380 Aylestone Road Leicester Leicestershire LE2 8BL zero star poor service 05/05/2009 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: Diane Butler Date: 2 2 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Alston House 380 Aylestone Road Leicester Leicestershire LE2 8BL 01162915601 01162915611 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) : Mrs Margaret Madden care home 19 Number of places (if applicable): Under 65 Over 65 19 19 19 2 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category sensory impairment Conditions of registration: 0 0 0 0 Service user numbers. No person falling within categories OP, MD(E) or DE(E) may be admitted to the home when 19 persons of categories/combined categories OP, MD(E), DE(E) are already accommodated within the home. Service user numbers. No person falling within category SI(E) may be admitted to the home when 2 persons of categories/combined categories SI(E) are already accommodated within the home. The maximum number of persons to be accommodated at Alston House is 19. Date of last inspection 0 5 0 5 2 0 0 9 Care Homes for Older People Page 2 of 12 Brief description of the care home Alston House is a care home for older persons, providing accommodation and personal care for up to nineteen residents some of whom have mental health needs, dementia and/or a sensory impairment. The home is situated on the Aylestone Road in Leicester approximately 15 minutes away from the city centre. There are shops within five minutes walking distance from the home and there is a small park nearby. Accommodation is on two floors with the upper floor accessed by lift or stairs. There are three lounges, two dining room areas and a conservatory on the ground floor. The home offers both single and shared bedrooms some of which come with ensuite facilities. A large parking area is to the front of the home and there is a wellmaintained secure garden to the rear of the home. Current charges range from £360.00 per week to £400.00 per week. Additional charges are in place for hairdressing, chiropody treatment and transport to appointments. Details of all charges can be found in the homes Statement of Purpose document, (a document which provides relevant information about the home) which is given to everyone living in the home and those interested in living in the home. A copy of the latest Inspection report is available at the home, or it can be accessed via the CQC website: www.cqc.org.uk. Further information about the home is available from the acting manager. Care Homes for Older People Page 3 of 12 What we found:
We carried out a random inspection on 22nd June 2009 to check compliance with requirements made at the key inspection on 5th May 2009. Areas checked on this occasion included care plans, risk assessments and daily records. We checked the care records for two people currently living in the home. There were care plans and risk assessments in place for each person and these documents had been reviewed on a monthly basis. One of the care plans was not up to date and did not reflect the persons current care needs. It stated that the person had a pressure sore on their heel though when we asked about this we were informed that the pressure sore had actually healed. The care plan identified that the person suffered with Asthma, though actions staff were to take to assist the person with this was not included in the care plan or risk assessment documentation. We looked at the daily records held to check whether these were up to date. Of the two checked only one was up to date. The fluid charts and daily records had not been completed on the day prior to our visit. What the care home does well: What they could do better:
Ensure that care plans include all the current needs of the people living in the home and any needs that no longer apply are removed from the care plan. Care workers need up to date information in order for them to appropriatley meet the needs of the people in their care. Ensure that risk assessments contain all the risks presented to both the person being cared for and the staff. Care workers need to be aware of all the current risks to the people living in the home and the actual actions they need to take to minimise those risks. Ensure that daily records are kept up to date and are accurate. People need to be
Care Homes for Older People Page 4 of 12 protected by accurate and up to date records, including care plans, risk assessments and fluid and food charts. 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 12 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 13 Ensure that all risks presented to people are included in the risk assessment documentation and specific actions to be carried to minimise the risk out are recorded. Care workers must be aware of all the current risks people face and the actions they need to carry out to minimise those risks. 22/05/2009 2 16 Attend to the decoration in 22/05/2009 the downstairs shower room. People need to be cared for and supported in areas that are clean homely and well maintained. 3 7 15 Ensure that all identified needs are included in the care plan documentation 22/05/2009 Care workers need accurate information in order for them to meet the needs of the people in their care. 4 7 15 Ensure that all identified needs are included in the care plan documentation 22/05/2009 Care Homes for Older People Page 6 of 12 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 workers need accurate information in order for them to meet the needs of the people in their care. 5 8 13 Ensure that all risks presented to people are included in the risk assessment documentation and specific actions to be carried to minimise the risk out are recorded. 22/05/2009 Care workers must be aware of all the current risks people face and the actions they need to carry out to minimise those risks. 6 15 13 Ensure that when people are 22/05/2009 prescribed food supplements instructions for use are included in care plan and risk assessment documentation. Care workers need direct information to ensure that supplements are given consistently. 7 29 19 Ensure that all pre employment checks are carried out before care workers commence work at the home People living at the home must be protected by robust recruitment practices. 8 29 19 Ensure that all pre employment checks are carried out before care 22/05/2009 22/05/2009 Care Homes for Older People Page 7 of 12 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 workers commence work at the home People living at the home must be protected by robust recruitment practices. 9 35 17 Ensure that access is 22/05/2009 available to money and valuables held on behalf of the people living in the home and records kept are up to date and accurate. People need to be confident that they can access any items held on their behalf at any time. 10 35 17 Ensure that access is 22/05/2009 available to money and valuables held on behalf of the people living in the home and records kept are up to date and accurate. people need to be confident that they can access any items held on their behalf at any time. 11 37 17 Make sure that daily records 22/05/2009 are up to date and accurate. People need to be protected by accurate and up to date records. 12 37 17 Make sure that daily records 22/05/2009 are up to date and accurate. Care Homes for Older People Page 8 of 12 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 People need to be protected by accurate and up to date records. Care Homes for Older People Page 9 of 12 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 7 15 Ensure that care plans 22/07/2009 include all the current needs of the people living in the home and any needs that no longer apply are removed from the care plan. Care workers need up to date information in order for them to appropriatley meet the needs of the people in their care. Ensure that risk assessments 22/07/2009 contain all the risks presented to both the person being cared for and the staff. Care workers need to be aware of all the current risks to the people living in the home and the actual actions they need to take to minimise those risks. 2 7 15 Care Homes for Older People Page 10 of 12 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 11 of 12 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 12 of 12 - 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!
