This inspection was carried out on 22nd May 2009.
CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Berwick Care Centre North Road Berwick Upon Tweed Northumberland TD15 1PL two star good service 03/12/2008 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: Anne UrwinBrown Date: 2 2 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Berwick Care Centre North Road Berwick Upon Tweed Northumberland TD15 1PL 01289331117 01289302473 berwick@fshc.co.uk www.fshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons (DFK) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) care home 60 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 54 0 mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 3 Should any of the persons occupying the PD beds leave the home, CSCI must be notified immediately, at which time those beds will revert back to the category of OP. Date of last inspection Brief description of the care home Berwick Care Home is a purpose built two-storey building on the outskirts of Berwick town. It is of traditional brick and apex roof design. The car parking is provided to the front of the building with a level access into the front of the home. There are gardens to the rear of the premises where there are paved areas with seating provided. The
Care Homes for Older People Page 2 of 11 0 3 1 2 2 0 0 8 Brief description of the care home home has good views of the sea. The town of Berwick is within walking distance of the home and there are public transport routes. Berwick Care is registered to provide care to older people, and is able to accommodate those who have been assessed as requiring nursing care. The home charges fees of between £419.08 and £561.88 per week depending upon the needs and requirements of the individual residents. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the resident. The home provides information about the service through the service user guide. A copy of the last inspection report from The Commission for Social Care Inspection is available in the entrance to the home. Care Homes for Older People Page 3 of 11 What we found:
This random inspection was carried out to check on staffing levels in the home at night. At the time of this visit there was one nurse and four care staff on duty to meet the needs of the people living in the home. The rota for the week showed that on two occasions there was one nurse and three care staff. The nurse on duty said that this only happens when there is sickness or annual leave that cant be covered by existing staff. Staff said that when there are only three care staff the nurse helps with care on the ground floor in addition to doing medicines and managing the shift. At times when they have a lot of dependent people it is evident that it is a struggle to meet peoples needs effectively. The nurse had completed giving out the medicines when this inspection started. A full refurbishment programme was in progress when this visit was made. All areas of the building appeared to be affected by this. Work was being done in public areas, residents rooms, bath and shower rooms. There was no pattern of work identified and staff said that they had not seen a schedule of work. No risk assessment had been drawn up when work first started to ensure that people living and working in the home were safeguarded. Staff said that residents were moved out of their rooms during the day and then moved back at night time. Some rooms had wardrobes removed from the rooms and peoples clothes were lying on chairs in a pile. Rooms had carpets with large patches bare to the floor where wardrobes had been removed. Replacement wardrobes were not available on site and were not being delivered the line manager reported until more than a week after this inspection. During this inspection concerns were identified with the health and safety of people living in the home in the midst of a complete refurbishment. All areas of the building have been affected by this. There was on small notice in the main hallway about the work. The nurse on duty said that this work is expected to be completed within three weeks. This was the first week of work. The nurse said that people are being moved out of their rooms during the day to allow work to take place and then they get their room back at the end of the day. During this inspection a number of areas of concern were identified. The main reception room had the ceiling painted and parts of the walls papered. The reception desk had been removed and carpet was rolled up on the floor in front of the temporary desk. The carpet where the walls of the reception office had been were bare. A sack barrow was left lying against the desk. Carpets were scattered with small bits of debris from the work and had not been vacuumed. Fire extinguishers had been taken from the wall fittings, one was holding open a door leading to new staff room. It was not clear if this was a fire door, another was on the floor at the end of the corridor with screws lying on the floor beside it. The nurse reported that staff knew where all the fire extinguishers were in the building. Two radiator covers had been left lying against a wall in the reception area of the first floor, which was being painted. Two plexiglass panels left leaning up against the wall ,
Care Homes for Older People Page 4 of 11 which could be a hazard to people living in the home. Some windows had restrictors removed and were pushed wide open and two were put back by inspectors. Staff said that workmen had probably undone the restrictors and not put them back on. The shower room curtain and rail had been removed and left lying on the floor and could present a hazard to people who may wander in or come in to use the bathroom. One service user who was in for respite care was in a bedroom where the wardrobe had been removed and his clothes were on a chair and some still in suitcase. The carers said family were aware of this and had expressed no concerns. One vacant room was being used as a store room by workmen despite the bed being still made up. A used paintbrush was left on top of the bed. All sorts of decorating materials were dumped in room. Administrative records were in bookcase in one of lounges and the nurse said this was a temporary arrangement, while the reception area was being renovated. Splinters of wood had been left on floor in one of corridors just outside a bedroom that could present a hazard to people. One carer expressed concerns about having no curtains to the front door, which she said made it feel a bit scary. Sometimes people come to the door during the night. The nurse confirmed one bathroom was out of order as it was being used to store items as a result of the refurbishment. This room was also full of workmens materials and was not locked. There were no risk assessments in place for carrying out a refurbishment in areas used by residents. There was no plan of work submitted to the manager by the contractors indicating the rooms where work was planned and dates and or times for work to be completed. Workmen had taken bits of wallpaper off the walls in areas where work had not started. This gave a poor appearance and seemed to be unnecessary and detracted from the appearance of a homely, well maintained setting. At a follow up visit to the home to speak with the manager she indicated that she had no control of work going on. Rooms have some work completed and then are left unfinished with people having to put up with the inconvenience of this. Work is undertaken in all areas of the home, so it is affecting the appearance of the home and domestic staff said that they are finding it very difficult to be able to keep up with clearing up behind the work. There are no risk assessments in place for work being carried out, for people living in half completed rooms or plans for keeping rooms vacant so that they can be used while work is undertaken. What the care home does well:
Staff are providing good care to people despite the difficulties of working in a building
Care Homes for Older People Page 5 of 11 site. Staffing levels were adequate at the times of the visits to the home. 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 6 of 11 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 9 12 A system should be in place to request, obtain and maintain adequate supplies of prescribed medicines for service users so that they can be given them as and when prescribed. To safeguard the health and welfare of people. living in the home 16/06/2009 2 9 13 Best practice guidance and 16/06/2009 the providers medication policy must be followed when recording all medicines. To safeguard the health and welfare of people. living in the home 3 9 13 Medication must be given as prescribed and a record made at the time that it is given. To safeguard the health and well being of people living in th home. 16/06/2009 4 15 16 The issues identified by the 28/02/2009 Environmental Health Officer must be addressed: a more effective cleaning routine must be introduced, redecoration/fitting of washable wall panels must
Page 7 of 11 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 be completed, the cooker and deep fat fryer must be repaired or replaced. This will ensure that adequate facilities and equipment are available so that the production of meals is not affected by the environment. Care Homes for Older People Page 8 of 11 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 19 23 Refurbishment work should 30/06/2009 only start in the home when a detailed management plan of work is in place that identifies how this will be undertaken, any risks involved for residents or staff and it should reflect that all materials required to complete rooms are available when they are needed. The manager must be involved in this planning work. This will protect the health and safety of people living and working in the home. 2 19 23 It must be ensured that window restrictors are not disabled in rooms where residents have access. This is to ensure that people living in the home are safe. 3 19 23 Fire extinguishers must be replaced on their fittings or secured so that they do not present a hazard to people 15/06/2009 15/06/2009 Care Homes for Older People Page 9 of 11 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 living in the home and staff are clear about where they are. Fire extinguishers must be replaced on their fittings or secured so that they do not present a hazard to people living in the home and staff are clear about where they are. This will ensure that people living and working in the home are protected. 4 27 18 A staffing review must be undertaken to ensure that staffing levels are adequate to meet the needs of the people living in the home during the night. 30/06/2009 This will ensure that people get the care and support they need. 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 24 Wardrobes should not be removed until replacements are available. This will ensure that people do not have uneven surfaces on the floor in their rooms that may present a trip hazard. The use of vacant rooms for storage of tools and other materials belonging to workmen should be reviewed to ensure that best use is made of space while this refurbishment is ongoing. 2 24 Care Homes for Older People Page 10 of 11 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 11 of 11 - 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!
