This inspection was carried out on 14th January 2009.
CSCI found this care home to be providing an Poor 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Avalon Care Home 116 Clipstone Road West Forest Town Nottinghamshire NG19 0HL The quality rating for this care home is: The rating was made on: zero star poor service 03/10/2008 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Denise Clark Date: 1 4 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Avalon Care Home 116 Clipstone Road West Forest Town Nottinghamshire NG19 0HL 01623644195 01623429977 avalon@schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Southern Cross Care Homes No 2 Ltd care home 40 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 40 Conditions of registration: Service users shall be within category OP One named sevice user as applied for in application dated 16/10/05 may be within category PD Date of last inspection Brief description of the care home Avalon Care Centre is a purpose built two-storey, forty bedded care home for older people situated on the outskirts of Mansfield, close to the former mining village of Clipstone. It is situated on a main road, which has a public bus service, and is approximately two miles from Mansfield town centre to the North East. All bedrooms are single occupancy, with half having en-suite facilities. Avalon is close to local shops, and a pub. There is ramped access to the home and a passenger lift is installed. The range of fees were not detailed in the Service User Guide, however information supplied on the day of the inspection by the temporary manager detailed fees ranged Care Homes for Older People
Page 2 of 10 0 3 1 0 2 0 0 8 between £294.00 and £475.00. No information was supplied as to extra charges. Copies of the last inspection report and the homes statement of purpose are available to people in the home. Care Homes for Older People Page 3 of 10 What we found:
We found some evidence of improvement in the handling of medicines in that records of the receipt and disposal of medicines were accurately kept. However, when we examined peoples medication charts we found some unexplained gaps in the records of administration, and the number of tablets in stock did not correspond with the administration record in three instances. There was no up-to -date list of the initials of staff who give medicines. We found that the home routinely carries out stock checks of its controlled drugs. The amount of liquid medicines is checked by eye but not poured into a measure. We found that the room in which medicines are stored was very warm, and we noticed particles in some liquid medicines that should be clear. We were shown policies on medicines prepared by the company that owns the home, but the home did not have its own policy describing how medicines are managed. 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 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 8 12 People must be supported to 10/12/2008 access the National Health Services Dietician when their nutritional assessment determines the need for referral. To uphold their right to access such services and ensure that they receive appropriate assessment and treatment. 2 15 17 Clear records of actual diet 10/12/2008 and fluid intake must be held to determine that people are receiving a suitable nutrition to meet their needs. To make sure that staff know when people are not eating sufficiently to meet their assessed needs, and gain access to external specialist advice where necessary. 3 15 18 Consideration of the numbers 10/12/2008 of staff required at peak times of activity must be made. To make sure mealtimes are more organised and enjoyable for people and they receive an unhurried support. 4 16 22 You must respond in writing to people who complain to 10/12/2008 Care Homes for Older People Page 5 of 10 inform them of actions taken. To make sure people feel listened to and taken seriously. 5 18 19 Where you are not satisfied 10/12/2008 that a person employed is fit to work in the care home, immediate action must be taken and suitable arrangements by training or other methods employed. To ensure that people are safe from harm. 6 27 18 The numbers of staff on duty 10/12/2008 must be sufficient to meet the needs of the people in the home and have regard for the peak times of activity. To make sure that people receive the care they need. 7 31 13 The staff team must be 08/12/2008 trained to recognise bad practice and report concerns through the whistle blowing procedure. To make sure that neglectful staff attitudes are recognised and dealt with for the protection of the people using the service. 8 33 26 You must review the quality of care provided by the home, using information received from complaints about people using the service. To ensure that suitable sustained improvements are made when shortfalls in care practices are identified through investigations and 10/12/2008 Care Homes for Older People Page 6 of 10 complaints. 9 36 12 You must encourage and assist staff to maintain professional relationships with each other and with people living at the home. To make sure that the home is conducted in a manner that makes proper provision for the health and welfare of people. 10/12/2008 Care Homes for Older People Page 7 of 10 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, Care Homes 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 9 13 Medicines must be stored in accordance with manufacturers instructions. This must be demonstrated by daily temperature records. To ensure that medicines remain effective and safe to use. 16/02/2009 2 9 13 People must be asked about their need for pain relieving medication, when appropriate and administration records should be signed after each person has taken their medicine. Peoples dignity and privacy must be protected when giving medication. To comply with national guidance on the administration of medicines in care homes, and to promote peoples dignity and well-being. 16/02/2009 3 9 13 Medicines must be given in line with prescribed instructions. This must be 16/02/2009 Care Homes for Older People Page 8 of 10 demonstrated by recordkeeping practices. To ensure that people are protected and receive their medication as prescribed. 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 9 The exact volumes of liquid medicines containing controlled drugs should be checked periodically so that the stock balance in the controlled drugs register can be amended if necessary. A medicine policy describing current practice in the home should be available for staff reference, as well as the companys policies on medication. 2 9 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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!
