Random inspection report
Care homes for older people
Name: Address: Avonwood Manor 31-33 Nelson Road Branksome Poole Dorset BH12 1ES zero star poor service 18/06/2009 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: mary collier Date: 2 1 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Avonwood Manor 31-33 Nelson Road Branksome Poole Dorset BH12 1ES 01202763183 01202751530 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) : Avonwood Manor Ltd care home 49 Number of places (if applicable): Under 65 Over 65 49 49 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 0 0 One named person (as known to CSCI) under the age of 65 may be accommodated to receive care. Date of last inspection Brief description of the care home Avonwood Manor is registered to provide accommodation and personal care for up to 49 residents who suffer from mental disorders or dementia above the age of 65. Avonwood Manor is still owned by Avonood Manor Ltd, however the home is managed through Affinity Care Homes Ltd. The home is situated in a quiet residential area close to the shops and amenities of Westbourne. The home is made up of two large properties that have been joined by an
Care Homes for Older People Page 2 of 8 1 8 0 6 2 0 0 9 Brief description of the care home extension. Each of the properties has three floors and there is a passenger lift at either end of the home. Communal areas are located on the ground floor and there are well maintained and enclosed gardens leading from the back of the home that residents can access. The majority of the bedrooms are for single occupancy with en-suite WC facilities; however there are eight double rooms, in which portable screens are provided. At the front of the home there is parking for staff and visitors. The fees for the home can be obtained from the manager. Care Homes for Older People Page 3 of 8 What we found:
Since the last inspection the manager and her deputy had made many improvements to the process for medication handling in the home. All staff who administer medication had been booked on a training course due to take place in October and an external consultant had been employed to help them devize a suitable audit tool. All staff had been trained by the deputy in a safe procedure for administering medication. We discussed the need for the manager to be confident that staff retained their competence to give medicines after they had been trained. Everyone in the home had been reviewed by their GP, including looking at the previous arrangements for giving medication covertly. Carers now only use this method occasionally for asmall number of people who have beeen assessed by the GP and other healthcare professionals. We saw clear records of this and monthly reviews. Each person has a medication profile which documents how they like to take their tablets and guidelines for any medication prescribed as required. One of these was missing and needed to be completed. Staff told us how they used these guidelines to support them when deciding to use a medicine prescribed as required. It was evident that carers were thinking about the needs of individuals when giving medicines, they commented that the use of night sedation had reduced significantly as it was no longer given routinely. Records of as required medicines that had been given were clear. The medicine administration records we saw had been correctly completed with signatures or codes fo non- administration. Records were kept of all medicines received into the home and returned for disposal. Care plans we saw showed when other health professionals had been involved in peoples care and when advice had been sought and followed by the home. A new controlled drugs cupboard had been purchased, but it had not yet been secured to the wall. 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 3 14 The registered person must 18/08/2009 ensure that the needs of people are fully assessed and kept under review To ensure that the home is able to provide the nursing care that each person needs 2 7 12 The registered person must 16/09/2009 ensure that people living at the home have an up to date plan of care that is sufficiently detailed to meet their health and welfare needs. To ensure that staff have accurate and detailed information to meet each persons needs 3 12 16 Arrangements must be made 17/10/2009 to consult service users about a programme of activities and provide facilities for recreation having regard to the needs of the people living in the home. This will ensure that all people will have the opportunity to engage in a recreational and stimulating activities. 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 4 18 13 Arrangements must be made 21/08/2009 , by training staff and other measures, to protect people from risk of harm or abuse. This will ensure the safety and well-being of all people living at them home. 5 29 18 The registered person must ensure that staff receive training appropriate to the work they are to perform. This would include person centred dementia care, challenging behaviour, infection control and pressure area care. To ensure that the needs of people living at the home have their needs met. 17/12/2009 6 33 24 The registered person shall 17/12/2009 establish and maintain a system for reviewing and improving the quality of care provided at the home. This will ensure that all areas of the home are monitored in a systematic way. 7 38 13 The registered person shall 17/12/2009 make suitable arrangements for the training of staff in first aid. This will ensure that all shifts are covered by a first aider and protect people living at the home. 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 A system of medication audits and checkes on staff competencies must be set up. This will ensure that staff continue to follow safe practice guidelines 06/11/2009 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!
