Random inspection report
Care homes for older people
Name: Address: Avon Park 66 Southampton Road Park Gate Hampshire SO31 6AF one star adequate service 06/03/2009 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: 1 5 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Avon Park 66 Southampton Road Park Gate Hampshire SO31 6AF 01489574616 Telephone number: Fax number: Email address: Provider web address: alexandernethersole@btinternet.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr A Nethersole,Mrs Nethersole care home 30 Number of places (if applicable): Under 65 Over 65 30 0 old age, not falling within any other category physical disability Conditions of registration: 0 30 The maximum number of service users to be accommodated is 30 The registered person may provide the following category 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 category ; Old age, not falling within any other category (OP) Physical disability (PD) Date of last inspection Brief description of the care home Avon Park is situated in a quiet residential area of Park Gate and is a short distance from the local shops and amenities. The home is set within its own grounds and has a large car parking area at the front of the home with attractive flowered borders. Accommodation is arranged over 2 floors with stair lifts between floors. The rear garden is wheelchair accessible and has a walkway with grab rails for service users,
Care Homes for Older People Page 2 of 8 0 6 0 3 2 0 0 9 Brief description of the care home the garden is well maintained and mainly laid to lawn with trees shrubs and flowers. The home is registered with the Commission for Social Care Inspection for a maximum of 30 older people and older service users who have a physical disability. Fees range from £475 - £580 per week. Care Homes for Older People Page 3 of 8 What we found:
There is adequate medicine storage facilities. We observed medicine being given at lunch time in the dining area. We found that the trolley was either left with the key in the lock or unlocked at this time. In addition two residents were given their medicine at the lunch table to have in their own time. This was observed by the inspector to be taken later but the carer had signed for these before they were taken. Some of the medicine given were also signed when taken out of the blister pack, before they were actually administered. We chatted with five residents who are happy in the home. There were a few residents who managed there own medicine and although a competence assessment and a consent was available there was no clear risk assessment or care plan on the process around this self administration. In addition there was no person centered care plan on medicine to be given only when needed for staff to be consistent in the use of these medicines. All records of medicine receipt, use and disposal was kept. Any dose changes recorded were backed up with a record in the doctors visit notes although the record added to the medicine administration record [MAR] chart was not initialed. There were no photographs or sample signature of staff authorized to give medicines with the MAR charts. 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 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 7 15 Care plans must be kept up to date to reflect the changing needs of the person. Care plans must include relevant risk assessments. If care plans are not kept up to date it is difficult for staff to know the changing needs of each person. Risk assessments need to reflect the risk for that person and these will not be the same for each person. 22/05/2009 2 29 18 Staff must receive training in 12/06/2009 the areas of infection control, basic food hygiene, first aid and adult protection. Staff must receive regular training to ensure they are competent in all areas and are able to keep people living at the home safe. 3 36 18 All staff must receive a minimum of six formal supervision sessions in a twelve month period. Staff must be given supervision to ensure they are aware they are following relevant procedures and give 03/07/2009 Care Homes for Older People Page 5 of 8 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 them an oppourtunity to discuss any areas of learning they may have. 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 1 9 13 To have clear person centred 17/08/2009 written procedures on medicine that are used only when needed so that there is consistency in the use of these medicines. 2 9 13 to have a detailed procedure 17/08/2009 around medicines that are self managed by people to protect the health and welfare of people in the home 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 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. 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 8 of 8 - 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!
