Random inspection report
Care homes for older people
Name: Address: Aylesham Court Nursing & Residential Home 195 Hinckley Road Leicester Forest East LE3 3PH one star adequate service 15/08/2009 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: Anthea Richards Date: 1 1 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Aylesham Court Nursing & Residential Home 195 Hinckley Road Leicester Forest East LE3 3PH 01162395599 01162395982 dudda@bupa.com www.bupa.com 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) : BUPA Care Homes (BNH) Ltd care home 60 Number of places (if applicable): Under 65 Over 65 60 60 old age, not falling within any other category physical disability Conditions of registration: 0 14 No person under 55 years falling within category PD may be admitted to the home. No person who falls within category PD may be admitted to the home when 14 persons of category PD are already accommodated within the home. To be able to continue to accommodate the named person in category PD who is under 55 years of age, subject of variation application V10139, who is currently residing in the home as agreed with the previous registration authority. Date of last inspection Brief description of the care home Aylesham Court is a 60-bedded a purpose built care home providing personal and nursing care for older persons. It is located on a main road on the outskirts of Enderby and Kirby Muxloe in Leicestershire and is easily accessed by public transport from the City of Leicester and the County. 1 5 0 8 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home The home provides residential and nursing care for sixty service users whose care needs fall within the categories of Older Persons and or Physical Disability over 65 years of age or Terminally Ill. The home is arranged over two floors with good access for residents with a physical disability. The first floor is accessed by, either the stairs or a passenger lift. There are bedrooms, lounges and a dining room on both floors. The two spacious lounge areas on the ground floor have an outlook onto the well-landscaped gardens, which are mainly laid to lawn with surrounding shrubbery and have a patio area where the residents can walk and sit. The home has two large dining rooms, which are well decorated, and have a private area where the residents can have a meal with relatives or friends if they wish. The home has fifty-four single bedrooms and two double bedrooms; all have en-suite facilities of a W.C. and wash-hand basin. Many of the ground floor bedrooms overlook the patio area. The latest copy of the Inspection report from the Care Quality Commission Inspection is available at the reception desk. The current fee level ranges are agreed dependent on the residents needs. There are additional costs for individual expenses such as personal toiletries, optician, hairdressing and some recreational activities. Care Homes for Older People Page 3 of 9 What we found:
This was a random inspection of a care home for older people, with an unannounced visit to the service. We, (throughout the report the use of we indicates the Care Quality Commission), undertook the inspection to check that the home had complied with the requirements made at the last key inspection on 15th August 2009. The visit took place on 11th January 2010 and took three hours. During the visit we checked all the requirements made at the last key inspection. This was achieved through a method called case tracking. Case tracking means that we looked at the care provided to two of the residents. To achieve this we spoke with the residents and the staff supporting their care and looked at the records relating to their health and welfare. We spent some time talking with the manager and looking at the documentation and measures that she had put in place to comply with the requirements that: 1) That the residents needs are met within an appropriate timescale. A needs assessment has been completed for all the residents and staff are now allocated to the areas where there is greatest need. The manager, with the staff is beginning to rewrite all the care plans so that each area of need is identified and that all the information for that need will be able to be found in the same place. This will make them easier to identify and clearer to understand. These will be based on individual need and choice and be much more person centred. The residents spoken with were much happier that they were not having to wait so long for care. 2) That sufficient staff and equipment are available to reduce the incidence of pressure sores. A comprehensive audit of all the residents is being undertaken to assess the risk of them developing a pressure sore. These are being completed on a monthly basis or more frequently for those at greatest risk. The skin of new residents is assessed on admission and all residents whether newly admitted or already resident have any sores are regularly monitored. With the residents permission sores are photographed and measured so that progress can be accurately assessed. All of the pressure relieving equipment is checked to make sure that it is working properly and that the staff are using it correctly. The incidence of pressure sores and the severity of them has reduced since the last inspection. 3) That the staffing levels are reviewed to make sure that the residents can have their care needs met in a timely manner. The manager is currently undertaking the allocation to make sure that the residents have their needs met at the right times. Nurses and senior carers will be trained to be able to allocate the staff correctly. This was seen on the staffing rotas and the allocation sheets.
Care Homes for Older People Page 4 of 9 The staffing levels are being based on the needs of the residents and not just on the numbers. The home is being reorganised to work as a whole so that each area is aware of the other areas needs and staffing levels. This will make sure that if an area is busier than another staff will be moved to help. The staff and the residents spoken with felt that things were improving but that it was to early to be confident that this would continue. 4) That the quality of the care in the home is regularly reviewed and improved. An annual quality audit is being sent the residents and their families, additionally the manager is now sending out monthly questionnaires about care, catering and housekeeping. 5) That all of the staff have the opportunity of formal supervision at the required intervals. A system of supervision has been put in place, which consists of a mixture of group sessions, informal and formal meetings. The matrix for this was seen and the staff spoken with confirmed that this was happening. We found that all of the requirements made had been complied with. What the care home does well: What they could do better:
An improved method of administering medicines should be put in place to make it safer, easier and quicker to give the medicines. Consideration should be given as a matter of priority, to upgrading the call bell system to record the time it takes to answer a bell and to make sure that all the calls are registered on the system. The application form should have more space on it to make sure that a full employment history is obtained. The hazard of storing hoists in a bathroom could be reduced if alternative storage is
Care Homes for Older People Page 5 of 9 found. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Homes for Older People Page 7 of 9 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 3 9 19 19 That consideration is given to putting a safer, easier and quicker method of medicine administration in place. That alternative storage is found for the hoists in the home. That consideration is given to providing a new call bell system to make sure that all the calls are registered and that they are recorded. That the application form has enough space on it to contain a full employment history. 4 29 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
