Inspection on 22/10/09 for Carr Bank House

This inspection was carried out on 22nd October 2009.

CQC found this care home to be providing an Poor service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Carr Bank House 12/01/10

Carr Bank House 08/12/09

Carr Bank House 30/06/09

Carr Bank House 17/06/08

Carr Bank House 05/07/07

Carr Bank House 11/06/06

Carr Bank House 31/10/05

Carr Bank House 03/07/05

Carr Bank House 18/08/04

Carr Bank House 01/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Random inspection report Care homes for adults (18-65 years) Name: Address: Carr Bank House 9-11 Heywood Street Bury Lancs BL9 7EB zero star poor service 30/06/2009 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: Grace Tarney Date: 2 2 1 0 2 0 0 9 Information about the care home Name of care home: Address: Carr Bank House 9-11 Heywood Street Bury Lancs BL9 7EB 01617977130 01617631747 jocarrbank@btconnect.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) : Mrs Pauline Jones care home 14 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 14 The home is registered for a maximum of 14 service users, in the category of Adults with Mental Disorder (MD) under 65 years of age. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection Brief description of the care home Carr Bank House is a privately owned care home for 14 adults with mental health needs. There has been no change in relation to the weekly fees. These are 365.00 pounds per week. However this may vary depending on the persons level of assessed need. The home is located in a residential area, close to Bury town centre, within easy reach of buses and trams, shops, cafes, and other local amenities. The house consists of 2 adjoining properties that have been adapted to form a large Care Homes for Adults (18-65 years) Page 2 of 15 3 0 0 6 2 0 0 9 Brief description of the care home house. There is a small garden at the front and a large enclosed garden at the side. There are 12 single rooms and one double. Three bedrooms also have en-suite facilities. There are 2 lounges, an activities room, and a dining room. Care Homes for Adults (18-65 years) Page 3 of 15 What we found: We (The Care Quality Commission) undertook a visit to the home to check that the management had complied with a Statutory Requirement Notice that had been served on them following an inspection of their service on the 30th June 2009. During the inspection of the 30th June 2009 we found that management had failed to protect service users from being cared for by unsuitable staff. This was because they had failed to undertake the correct recruitment checks on 2 of the staff who were working and also living at the home. There had been no evidence of Criminal Records Bureau (CRB) checks and references were either absent or were received after the person had been employed. During this visit to check compliance with the Notice we looked at the staff recruitment files of the 2 staff members that had not previously been safely employed, and we also looked at the recruitment file of a new staff member. We saw that CRB checks were in place in the 3 files that we looked at and that 2 references had been received for the new staff member. The new staff member had not started employment until all the necessary recruitment checks were in place. The Statutory Requirement Notice in relation to Regulation 19 (1) (a) & (b) had been complied with. 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 Adults (18-65 years) Page 4 of 15 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 15 Information recorded on the care plan should reflect the current and changing needs of people. Without this information there is no assurance their needs and wishes will be met. 30/09/2009 2 9 13 Comprehensive risk 30/09/2009 assessments need to be reviewed and updated ensuring information is accurate. Where additional concerns have been identified these too should be included. Providing staff with information about the level of support required so that people are kept safe. 3 19 15 Adequate monitoring and 30/08/2009 recording must be made with regards to the weight and dietary needs of people where concerns are identified in the care plan ensuring the appropriate support and intervention can be provided should concerns continue. Care Homes for Adults (18-65 years) Page 5 of 15 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 4 19 12(1) Accurate records must be 30/08/2008 maintained with regards to peoples dietary needs as well as accurate monitoring of their weight ensuring they are supported fully and their health and well being is maintained. 5 20 18 All staff who administer medication must receive accredited medication training ensuring they have the competence needed to administer peoples medication safely. 30/10/2009 6 20 13 Medication administration records must be completed in full along with explanations where medication has not been given ensuring people are given their medication as prescribed and their health and well being is not affected. 30/08/2009 7 23 23 The sunken floor in the downstairs shower room need attention so that people are not placed at risk and further damage to the property is prevented. 30/08/2009 8 23 23 The broken bedroom window 30/09/2009 must be replaced Page 6 of 15 Care Homes for Adults (18-65 years) 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 for the safety of the resident. 9 23 23 A lock must be fitted to the 30/09/2009 laundry door and kept locked ensuring the safety and protection of people. 10 23 18(1)13(4) Arrangements should be 30/09/2008 made for staff complete Safeguarding training in relation to the local authority procedure so that they are aware of the procedure to follow ensuring people are kept safe. 11 23 23 Each of the bathrooms are in 30/11/2009 need of redecoration and refurbishment so that they provide comfortable, safe and clean facilities for people to use. 12 23 13 Hand washing facilities should be provided in all bathrooms and toilets to promote good hygiene and prevent cross infection 30/09/2009 13 23 13 The stairs and landing carpet 30/09/2009 needs a thorough cleaning providing a cleaner environment. 14 23 23 The exterior of home needs to be cleared of rubbish and the garden and yard tided 30/09/2009 Care Homes for Adults (18-65 years) Page 7 of 15 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 so that people living at the home are able to enjoy it. 15 23 23 The electric sockets in the ground floor bedroom need to be moved so that the resident is not placed at further risk of harm or injury 16 23 23 Damp identified in the bedrooms and communal areas must be resolved and then rooms redecorated so that standard of accommodation provided for people is improved. 17 23 23 The condition of the beds should be reviewed and where necessary replaced so that people are provided with items which are safe to use. 18 23 18 All staff must complete Safeguarding training in line with the local authority procedure. So that they are clear of their responsibilities ensuring people are protected 19 24 23 The exterior of home needs to clear of rubbish and the garden and yard tided so that people living at the home are able to enjoy it. Care Homes for Adults (18-65 years) Page 8 of 15 30/08/2009 30/09/2009 30/08/2009 30/10/2009 30/09/2009 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 20 24 23 The broken bedroom window 30/09/2009 must be replaced for the safety of the resident. 21 24 23 The electric sockets in the ground floor bedroom need to be moved so that the resident is not placed at further risk of harm or injury 30/08/2009 22 24 23 A lock must be fitted to the 30/09/2009 laundry door and kept locked ensuring the safety and protection of people. 23 24 23 Each of the bathrooms are in 30/11/2009 need of redecoration and refurbishment so that they provide comfortable, safe and clean facilities for people to use. 24 24 23 The sunken floor in the downstairs shower room need attention so that people are not placed at risk and further damage to the property is prevented. 30/08/2009 25 24 23 The condition of the beds should be reviewed and where necessary replaced so that people are provided with items which are safe to use. 30/08/2009 26 24 23 Damp identified in the 30/09/2009 Page 9 of 15 Care Homes for Adults (18-65 years) 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 bedrooms and communal areas must be resolved and then room redecorated so that standard of accommodation provided for people is improved. 27 30 13 The stairs and landing carpet 30/09/2009 needs a thorough cleaning providing a cleaner environment. 28 30 13 Hand washing facilities should be provided in all bathrooms and toilets to promote good hygiene and prevent cross infection 29 33 18(1)(a) Staffing levels should be kept 30/08/2008 under review ensuring staff are provided in sufficient numbers at times which best meet the needs of people living at the home. 30/09/2009 30 33 18 Rotas should be kept under review ensuring that sufficient staffing are provided to meet the needs of the service. 30/09/2009 31 34 19schedule 2 All relevant information and 30/08/2008 checks needs to be in place before staff commence any work at the home ensuring people are not placed at risk. Care Homes for Adults (18-65 years) Page 10 of 15 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 32 34 19 All relevant information and 30/08/2009 checks including written references, POVA checks and criminal record checks must be sourced by the manager prior to new staff commencing their employment. Without this there is no assurance that people are being kept safe. 33 35 18 All staff must be provided with good quality training specific to the needs of people living at the home. This should include areas such as mental health awareness, challenging behaviour, epilepsy as well as mandatory courses. This is to ensure staff have the knowledge, skills and competences needed to support people safely. 30/10/2009 34 35 18(1)(c) (i) A programme of training 30/09/2008 needs to be developed for the forthcoming year so that staff receive all necessary training relevant to their roles and responsibilities ensuring they are competent to carry out their role safely. 35 37 12 The registered person must 30/08/2009 ensure that the care home is conducted in such a way as to promote and make proper provisions for the health and Page 11 of 15 Care Homes for Adults (18-65 years) 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 welfare of service users ensuring their safety and protection. 36 39 24 Quality assurance systems need to be improved and clearly evidence that the service is being monitor and reviewed ensuring the improvements needed are addressed and a quality service is proivded. 37 42 37 All incidents which may affect the well being of residents must be reported to us evidencing the appropriate action has been taken. 38 42 23 An up to date gas safety check must be carried out and evidenced that this has been done ensuring the system is in good working order and people are kept safe. 39 42 37 Any incidents, which occur that may affect the wellbeing of people, must be reported to the CSCI in line with Regulation 37. 30/09/2008 30/08/2009 30/08/2009 30/09/2009 40 42 13(4)23(2) Action needs to be taken to 30/09/2008 ensure that water temperatures are maintained at 43 degrees C for the Page 12 of 15 Care Homes for Adults (18-65 years) 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 safety and comfort of people living at the home. 41 42 23 Action must be taken to ensure that the water temperatures are regulated as close to 43 degrees C for the comfort and safety of people. 30/08/2009 42 42 23 Evidence must be provided 30/09/2009 to show that action required on the electric certificate has been addressed ensuring it is in good working order and people are kept safe. Care Homes for Adults (18-65 years) Page 13 of 15 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 Care Homes for Adults (18-65 years) Page 14 of 15 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 Adults (18-65 years) 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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