Random inspection report
Care homes for older people
Name: Address: Blackwell Vale Nursing Home Rear 61 Durdar Road Carlisle Cumbria CA2 4SE one star adequate service 10/08/2009 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: Margaret Drury Date: 2 1 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Blackwell Vale Nursing Home Rear 61 Durdar Road Carlisle Cumbria CA2 4SE 01228512456 01228810994 Telephone number: Fax number: Email address: Provider web address: www.fshc.co.uk Name of registered provider(s): Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) care home 60 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 28 dementia old age, not falling within any other category Conditions of registration: 32 0 The registered person may provide the following category/ies of service only: Care home with nursing - Code N 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 (maximum number of places: 28) Dementia - Code DE (maximum number of places: 32) The maximum number of service users who can be accommodated is: 60 Date of last inspection Brief description of the care home Blackwell Vale Care Home is owned by Four Seasons Health Care Limited and is located on the outskirts of Carlisle near to the racecourse. There is a bus stop nearby and ample car parking is provided. The home is divided into three areas with the ground
Care Homes for Older People Page 2 of 8 1 0 0 8 2 0 0 9 Brief description of the care home floor providing nursing care for service users within the category of registration of Older People. The second floor accommodates and provides nursing care for people with Dementia. The home was purpose built and each unit has its own lounge and dining room. There is a conservatory and two other lounge areas on the ground floor. Fees payable at the home vary according to the level of care required and can be discussed with the manager. There are additional charges for hairdressing, private chiropody, personal newspapers and magazines, toiletries and taxis for personal travel. The home makes information about its services available through its own brochures, its service user guide and statement of purpose. These are available within the home. This home does not provide intermediate care. Care Homes for Older People Page 3 of 8 What we found:
The reason for this random inspection was to check to see if the requirements made at the last inspection had been met. On the day of the visit the manager was unavailable so we were assisted by one of the qualified nurses and the maintenance manager. We found that two sluices had been purchased and installed which indicated that the requirement made in respect of this had been met. Some work to clear the paths in the garden and make the area fit for residents to enjoy had been completed and the remaining work is to be completed in the Spring. The recommendation was partially met. One assisted bath had been purchased and installed. Unfortunately that was all that had been done. The bathroom had not been finished to an acceptable standard. The maintenance manager had started work on the walls in order to improve the environment. As the work was not complete there was a danger that residents could harm themselves on the wooden battens. The walls were in a poor state where bathroom fittings had been removed and the state of the bathroom as a whole was not acceptable for residents to enjoy the bathing experience. No other baths have been purchased which means there is still only one usuable bath throughout the home. This is not acceptable in a home of this size as most of the residents prefer a bath to a shower. We requested that one of the bathrooms be locked and remain so as there were open pipes along the wall and the room was totally unsuitable for residents to use. As this was in the EMI unit there was real danger to the residents on that floor. The requirements made in respect of the bathing facilities had not beem met. We made a recommendation that training in dementia care was accessed as soon as possible as the home does not currently employ Registered Mental Nurses on day duty. Having spoken to the manager since the visit we find that no date for such training has been agreed. This recommendation has not been met. What the care home does well: What they could do better:
The main area in which this service could and should improve is in the environmental standards within the home. There is a considerable amount of work to be done to the bathing and washing facilites in order to make this an enjoyable experience for those living in Blackwell Vale. Appropriate staff training should be accessed taking into account the health, personal and
Care Homes for Older People Page 4 of 8 psychological needs of those people using this service. 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 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 21 23 It is required that the home provide suitable and operational baths. To ensure all residents are able to choose what kind of bathing facility they prefer 05/04/2010 2 21 23 The walls in the toilet must 05/04/2010 be re-tiled to ensure the wall surface is safe and clean. To ensure residents ae safe from injury and to avoid cross infection. 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 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 20 30 It is recommended that the work to improve the garden area be re-started in Spring It is recommended that training in dementia care be accessed as soon as possible for all staff. This to include all first and second level nurses. 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!
