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Inspection on 26/06/09 for Bedford Park Care Centre

Also see our care home review for Bedford Park Care Centre for more information

This inspection was carried out on 26th June 2009.

CQC found this care home to be providing an Adequate 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

Bedford Park appeared homely and comfortable. The staff were welcoming and approachable. The manager listened and was professional throughout.

What the care home could do better:

Arrangements made for the collection of clinical waste must be consistent.

Random inspection report Care homes for older people Name: Address: Bedford Park Care Centre Pearn Road Mannamead Plymouth Devon PL3 5JF one star adequate service 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: Caroline Rowland-Lapwood Date: 2 6 0 6 2 0 0 9 Information about the care home Name of care home: Address: Bedford Park Care Centre Pearn Road Mannamead Plymouth Devon PL3 5JF 01752770477 01752785090 manager.bedfordpark@aermid.com www.aermid.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) : Aermid Health Care Properties Ltd care home 104 Number of places (if applicable): Under 65 Over 65 39 65 39 dementia old age, not falling within any other category physical disability Conditions of registration: DE(E) Maximum registered 39 service users 0 0 0 Maximum of 104 service users accommodated at any one time OP Maximum registered 65 service users PD(E) Maximum registered 39 service users Registered for 65 years and over Date of last inspection 0 7 1 1 2 0 0 8 Care Homes for Older People Page 2 of 13 Brief description of the care home Bedford Park Care Centre comprises of three separate units known as the Manadon Gardens (Nursing Unit), Compton Gardens and Pearn Gardens (Residential Unit). All units are laid out over two floors with wheelchair access via ramps or passenger lifts. Bedford Park care centre is situated on the outskirts of Plymouth close to local amenities. Staff within Manadon Gardens provide 24 hour nursing care to a maximum of 38 people. Staff within Pearn Gardens provide personal care to a further 38 people and staff within the Compton Unit are able to provide personal care to a further 26 people. People with dementia are cared for in all units. The maximum number of people at the home should not exceed 104. Communal rooms are available in each unit and the home benefits from large landscaped gardens, which are accessible from Pearn Gardens. Manadon Gardens has a sheltered patio area and people within the Compton Unit are able to access both areas when staff are free to accompany them. The home is owned by Aermid Health Care Group PLC a national care home provider (www.aermid.com). The current weekly fees in the residential unit and Compton unit range from 357 pounds to 393 pounds and in the nursing unit range from 468 pounds to 562.65 pounds (June 2008). All people living in the home are issued with a contract breaking down the fees so people can see who is paying what. The last inspection report and Statement of Purpose are on display in the entrance foyer to each unit. Care Homes for Older People Page 3 of 13 What we found: The reason for this random inspection was because of information received by the CQC which led us to believe that regulations may have been breached. The information related to clinical waste not being disposed of in a timely way. Outside of the home was a very large pile of clinical waste sacks and two large wheelie bins which were overflowing. This area smelt and clearly this is a risk to health. 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 13 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 13(4)c The Manager must make 01/10/2008 sure risk assessments contain accurate information to enable staff to provide care in a safe and consistent way. This relates to the inadequate bed rail assessment and moving and handling assessments The Manager must make 01/10/2008 sure care plans and risk assessments are: Accurate Reviewed to show changes Contain accurate information to enable staff to provide care in a safe and consistent way The manager must ensure 30/06/2009 care plans and risk assessments are accurate, are reviewed to show changes and contain accurate information to enable staff to provide care in a safe and consistent way. This will ensure staff will be aware at all times what care an individual needs. 2 7 15(2)b 3 7 15 4 8 12(1)a13(4)c The Manger must ensure people who use the service 01/08/2008 Care Homes for Older People Page 5 of 13 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 have access to a call bell or systems are in place to ensure people are safe if they are unable to access or use a call bell. 5 9 13 (2) Arrangements must be made to ensure that all medicines are stored in accordance with the directions of the manufacturer. This is to ensure that medicines administered are safe and effective 31/07/2009 6 9 13 (2) Arrangements must be made to ensure that there are clear protocols for the use of medicines prescribed to be administered when required. This is to ensure that people can be confident that they will have these medicines administered both appropriately and consistently 31/07/2009 7 9 13 (2) Arrangements must be 31/07/2009 made to ensure that there is a system in place to ensure that medicines are available to administer as prescribed. This will mean that people will receive the medicines prescribed for them 8 10 13 The manager must ensure staff work in a way that 31/07/2009 Care Homes for Older People Page 6 of 13 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 respects the privacy and dignity of people who use the service. This must be done by ensuring The language used to refer to people who use the service is appropriate ( not using expressions such as toileting rounds). Infection control information is removed from bedroom doors. This promotes privacy and dignity 9 10 12(4)a13(4)c The manager must ensure 01/08/2008 staff work in a way that respects the privacy and dignity of people who use the service. This must be done by ensuring: The language used that refers to people who use the service is appropriate. (i.e. not using expressions such as doubles and feeders) Staff communicate when providing personal care or assistance to people who use the service. Staff are aware of their actions when working with people who use the service. Moving and handling assessments containing personal information are removed from bedroom doors People who require assistance with cutting up meals are given adequate assistance Care Homes for Older People Page 7 of 13 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 10 12 16 You must consult with people 31/07/2009 about their social interests and make arrangements to enable them to engage in a range of activities according to their ability. This relates to people less able and those spending considerable time in their bedrooms. This means all people living at the home have a good quality of life and are able to participate in things they enjoy. 11 12 18 The responsible person must 31/07/2009 ensure that staff shortages do not mean that the activities programme is reduced for people in the home This will ensure that all people are able to participate in meaningful activities and lead a more fulfilling life. 12 18 13 18 13 (6) The Responsible 30/06/2009 person must ensure any training provided to staff in respect of the protection of vulnerable adults means staff are aware of how to correctly report allegations of abuse outside of the organisation. This will help to keep people safe at all times. 13 18 12(4)a The manager must ensure work practices within the home are performed in the best interest of people who 01/08/2008 Care Homes for Older People Page 8 of 13 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 use the service and show they are not institutional approaches. 14 19 16 Financial shortfalls must not prevent rooms being carpeted and provided with bed. This will ensure people get the room they request and will be furnished appropiately. 30/09/2009 15 19 13 The registered person shall ensure that- all parts of the home to which service users have access are so far as reasonably practicable free form avoidable risks. This includes window restrictors, freestanding wardrobes and chemicals not locked away properly. his will ensure peoples safety 31/07/2009 16 26 16 The Responsible person must 30/06/2009 ensure satisfactory standards of hygiene are maintained within the care home. This must include ensuring the commode frames are kept clean. This will mean the risk of spreading infection is kept to a minimum. This means people live in a clean safe environment. 17 29 19 Systems must be in place to show what action has been taken to safeguard people 30/06/2009 Care Homes for Older People Page 9 of 13 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 when receiving unsatisfactory checks and information regarding staff during the recruitment procedure. This must include action but has been taken following receipt of poor references, and what steps have been taken to safeguard people when a positive conviction has been received on the criminal records bureau check. This will show safeguards are in place to protect people who use the service This will mean that people can be safe and looked after by people suitable to do so. 18 29 19 The responsible person must 30/06/2009 ensure no staff work at the home until satisfactory checks and information is obtained the member of staff. This must include: a recent staff photograph. This will show that the recruitment procedure is robust and means that staff working with vulnerable adults have had a satisfactory checks performed. This will mean that people can be safe and looked after by people suitable to do so. 19 30 13 The responsible person must 30/06/2009 ensure all staff, including agency staff, are provided with an induction prior to Page 10 of 13 Care Homes for Older People 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 working at the home. This will mean that all staff are aware and familiar with emergency procedures such as the fire and emergency systems within the home. This will mean that people can be safe and looked after by people suitable to do so. 20 33 38 The responsible person must 30/09/2009 ensure all staff working at the home have received mandatory training which must include infection control, first aid, and fire safety. This will ensure people living at the home are looked after by people trained to do so. Care Homes for Older People Page 11 of 13 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 1 25 16 The care home must be kept 30/06/2009 free from offensive odours and make suitable arrangements for the disposal of general and clinical waste. This will ensure a clean odour free environment. 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 Care Homes for Older People Page 12 of 13 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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