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Inspection on 14/09/09 for Astley House

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

This inspection was carried out on 14th September 2009.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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 staff provide individualized physical, personal care to people living at the home. The environment is comfortable for people living there.

What the care home could do better:

Training should continue to ensure staff are equipped to provide individual care and support to people with memory loss. People living at the home should be individually consulted about their choices for activities and outings. Records should be kept of the choices offered to people living at the home. Management and staff should continue to keep up to date with best practice and research about people with memory loss.

Random inspection report Care homes for older people Name: Address: Astley House 1/2 Hartley Gardens Seaton Delaval Whitley Bay Tyne & Wear NE25 0AB zero star poor service 02/07/2009 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: Karena Reed Date: 1 4 0 9 2 0 0 9 Information about the care home Name of care home: Address: Astley House 1/2 Hartley Gardens Seaton Delaval Whitley Bay Tyne & Wear NE25 0AB 0191-2377209 F/P01912377209 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 M Powers,Mr R Powers care home 15 Number of places (if applicable): Under 65 Over 65 0 5 dementia old age, not falling within any other category Conditions of registration: 10 0 The maximum number of service users who can be accommodated is: 15 The registered person may provide the following category of service only: Care Home only, Code 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, Code OP, maximum number of places 5 Dementia, Code DE, maximum number of places 10 Date of last inspection Brief description of the care home Astley House is a large, detached house that used to be the village police station. The home is situated in a residential area in the village of Seaton Delaval, it is close to local shops, doctors and public houses. It is also very close to the Northumbrian coast and Care Homes for Older People Page 2 of 8 0 2 0 7 2 0 0 9 Brief description of the care home the nearby countryside. It is registered to provide personal care to fifteen residents, the categories of registration are for five older people and ten older people with memory loss. Bedrooms are all for single occupancy, some are situated on the ground floor. There is a large lounge and a separate dining room that is also used as a quiet area when meals are not being served. Both living rooms overlook a well- maintained garden to the front of the building. There are two bathrooms both containing equipment that can be used to assist with getting in and out of the bath. 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. Fees payable for living at the home at the time of inspection in July 2009 are 441 pounds per week. Additional charges are payable for hairdressing, private chiropody and personal newspapers. Care Homes for Older People Page 3 of 8 What we found: This random inspection was carried out to check compliance and to check progress with requirements and recommendations made at the previous inspection. Action is being taken by the proprietor and manager to progress their action plan and to ensure the home is becoming better equipped to provide individual care to people with memory loss. Research is being carried out to look at the appropriate signage around the home to help maintain the independence of people living there. Staffing levels are in place so the appropriate amount of staff are on duty in the evening to offer choice to people living in the home. The identified person, with risk assessments in place, has the choice of where they wish to spend their time. Meetings are being introduced for people to decide which activities and outings they wish to have available. Individual choices will be recorded in their records. Staff training is taking place about the Deprivation of Liberty and the Mental Capacity Act and talks are to take place with training providers about further appropriate training to keep staff up to date with best practice. Advice has been taken from the community pharmacist and consultation with the GP to ensure medication is administered in an appropriate form for someone who is unable to swallow. Food provisions such as joints of meat are available in sufficient quantity for the amount of people living in the home. Fresh fruit and vegetables are purchased weekly supplemented by frozen vegetables. 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 8 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 18 A training and development programme must be introduced to ensure staff training is kept up to date including developmental training. This is to ensure that staff continue to meet the needs of people living at the home as individually as possible. 27/08/2009 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 1 2 12 14 People should be consulted about their choices for activities and outings and a record should be kept. People should be offered choice and involved in decision making in order to maintain some control of their life. 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. 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