Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Belper Views 50/52 Holbrook Road Belper Derbyshire DE56 1PB The quality rating for this care home is: The rating was made on: one star adequate service 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: Helen Macukiewicz Date: 1 9 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Belper Views 50/52 Holbrook Road Belper Derbyshire DE56 1PB (01773)829733 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Margaret Catherine Stone Type of registration: Number of places registered: Mr Alan Kilkenny care home 25 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 25 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 25 Date of last inspection Brief description of the care home The home is a large detached brick building with its own large garden and patio area, set on a hill on the outskirts of Belper. The home offers access to a good range of community and leisure facilities, although there are no shopping facilities in the immediate area. The home offers accommodation for 25 older people in single rooms, Care Homes for Older People Page 2 of 10 some with en-suite facilities available, and has a good range of communal areas, offering a variety of spaces for people and their visitors to use. People at the home are registered with one of the two local Doctors practices and there is a small community hospital in the town. The current range of fees for the home is 345.52 GBP to 364.31 GBP per week. The last Inspection report was kept in the foyer. You can obtain further copies of this report on www.csci.org. Care Homes for Older People Page 3 of 10 What we found:
The main purpose of this visit was to check progress on the requirements made at the last Inspection on 30th April 2008. We also spoke to people living in the home to make sure they were happy living there and satisfied with the care and services they were receiving. We spoke to four people who live at the home, the manager and the deputy manager. We looked at care records, medication charts and some policies and records belonging to the home such as staff rotas and training records. There had been good progress on meeting the requirements of the last Inspection, but more work was needed to ensure full compliance in all areas. What the care home does well: What they could do better:
The records that accompanied pre-admission assessments were not always dated and signed and pre-admission visits were not always recorded. This would support that peoples needs were being fully assessed as to their suitability for admission, and provide a record of when and by whom, the assessment was completed. On admission to the home people did not always receive a further full assessment of need in the absence of a social services assessment, but a record of the care they were receiving showed that their needs were known by staff. Care plans were in place for all but one person who had been recently admitted. However, there was not one system in place to record care needs and progress. Subsequently there were some gaps in the documentation. Some people did not have risk assessments for all areas of need, some did not contain instructions for staff on how to meet needs, some had not been updated as needs had changed. The daily logs were the main source of information about the person, but not having this information in a logical order left the potential for care needs to be overlooked. One persons care reviews since February 2008 were missing. The manager said she thought the administrator had taken them home so that a chronology of events could be done for a Care Homes for Older People
Page 4 of 10 safeguarding issue. These should not be removed from the home. New documentation had been purchased, the manager showed us one she had completed as a test and this seemed to cover all areas for improvement, she said this was due to be implemented by January 2009. Staff had received more training since the last inspection, but records of this showed they still needed updates in safe food handling and first aid to ensure peoples wellbeing could be fully met by staff. There was an induction checklist to use should any new staff start working at the home but the manager could not locate a more comprehensive foundation training programme to ensure they were fully competent to start care duties. 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 5 of 10 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 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 3 14 1)2) The new documentation 31/01/2009 acquired by the manager must be used to assess peoples needs preadmission. All pre-admission visits and assessment must be dated and signed by the assessor. This is to ensure records at the home can support that people receive a preadmission assessment of need and prevent inappropriate admissions to the home. 2 3 14 On admission to the home people must have their needs fully assessed using the new documentation acquired by the manager, in the absence of the social services assessment. This is to ensure peoples care needs are not overlooked. 31/01/2009 3 7 15 1)2) The new care documentation acquired by the manager must be completed in full for all 31/01/2009 Care Homes for Older People Page 7 of 10 people so that their care needs and any risks to them are identified with instructions for staff on how to manage these. Care plans must be updated as care needs change. This documentation must also be commenced immediately for any new admissions to the home. This is to ensure that people have their needs identified and that this is recorded in a logical way. To provide clear instructions for staff so that care needs are not overlooked. 4 7 17 1)a) and schedule 3. All care 01/12/2008 records relating to a person living in the home must not be removed from the premises. This is to ensure that staff have access to relevant information about the persons care needs. 5 30 18 1)c) All staff must receive basic food hygiene and first aid training updates. This is to ensure that peoples wellbeing is not adversely affected by gaps in staff knowledge. 6 30 18 1)a) Newly appointed staff 31/01/2009 must have access to a more detailed training programme once they have completed their induction checklist. This is to ensure that peoples wellbeing is not adversely affected by unskilled staff. 31/01/2009 Care Homes for Older People Page 8 of 10 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 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 © (2008) 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!
