Random inspection report
Care homes for older people
Name: Address: Carshalton Nursing Home 28 Salisbury Road Carshalton Surrey SM5 3HD zero star poor service 30/04/2009 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: Alison Ford Date: 1 3 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Carshalton Nursing Home 28 Salisbury Road Carshalton Surrey SM5 3HD 02086692592 02086699558 sweethomes@aol.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) : Sweet Homes Ltd care home 33 Number of places (if applicable): Under 65 Over 65 10 33 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 33 The registered person may provide the following category 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: 33) Dementia - Code DE(E) (of the following age range: 65 years and older) (maximum number of places: 10) Date of last inspection Brief description of the care home Carshalton Nursing Home is registered to provide care for up to thirty-three older people who may have dementia. 3 0 0 4 2 0 0 9 Care Homes for Older People Page 2 of 9 Brief description of the care home As an existing care home the facilities would not meet the requirements of a newly registered home. A large proportion of the accommodation is provided in what were previously designed to be shared rooms, without en-suite facilities and others are smaller than would now be acceptable. There is only one lounge/dining area and this is in the form of a conservatory, which despite fans, is sometimes uncomfortably hot. There is a shaft lift to ensure accessibility throughout the home and the conservatory overlooks the rear garden. There is limited off-street parking however, the home is in a quiet road and close to public transport links. At the time of this inspection we were told that fees range from £525- £850 per week. Any extra charges payable for services such as hairdressing would be discussed prior to admission. A copy of the homes Statement of Purpose, Service User Guide and the latest inspection report can be obtained from the homes Registered Providers or the latter can also be obtained from the Commission For Social Care Inspection from their website. www.csci.org.uk Care Homes for Older People Page 3 of 9 What we found:
We found that the requirements that we made at the last inspection, which were concerned with care planning had not been met. Although people look well cared for, the documentation that provides the evidence of how their health care needs are being met, is not of an acceptable standard. There is no evidence to show that residents or their families are being asked to contribute to the care planning process. This means that we are not able to tell if they have been able to influence the care and support that they receive. Not all of their assessed health care needs have been identified and there is insufficient detail provided to enable all staff to understand how care should be delivered. Where risk factors have been identified there is no overarching plan about how these will be managed. We had concerns that pre-employment checks on new staff were incomplete and we have asked for more information in order to provide some clarity. At this visit we found that previous concerns regarding equipment that was not being adequately serviced and repaired had been met. What the care home does well: What they could do better:
In our opinion, the absence of a robust management structure in this home is leading to deficiencies in the care of the people who live there. This lack of leadership and support has lead to the home drifting . Whilst the staff seem to be kind and caring we are able to find only limited evidence of the care and support that is being provided for residents. The requirements that we issued at our last visit, relating to these issues have still not been addressed. There must be evidence that care planning is undertaken after consultation with residents or their representatives in order to show that care and support is being delivered in a way which suits them. Care plans must identify all of the areas where residents will need support. There must be sufficient detail to ensure that all staff know how people should be cared for and they must be reviewed regularly so that any changes can be addressed. The service responds to our criticism and requirements rather than being managed in a
Care Homes for Older People Page 4 of 9 proactive way to ensure the wellbeing and safety of the people who live there. 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 9 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 Service users care plans must be kept under review and where appropriate revised in order to detail the arrangements in place to meet changing needs. To ensure that any changes are identified and adddressed. 10/07/2009 2 7 15 A written care plan must be prepared for each service user after consultation with the service user or their representative unless it is not practicable to do so. So that they have the opportunity to influence the way that care is provided. 10/07/2009 3 7 15 Written care plans must 10/07/2009 detail the arrangements in place to meet the health and welfare needs of the service user. So that everyone is aware of the way that they need to be supported. 4 9 13 Medication received in to the 10/07/2009 home must be properly recorded, handled administered and disposed of.
Page 6 of 9 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 To protect residents and ensure that they receive their medicatiobn as it has been prescribed. 5 12 1 The home must be conducted in a way which makes proper provision for the care and treatment of service users To ensure their safety and well being. 6 29 17 There must be evidence, available for inspection, to show that no one is employed without all of the necessary checks being carried out. In order to maintain the protection of residents in the home. 7 30 18 Staff must receive regular training appropriate to the work that they perform. So that they are kept updated and are able to meet the needs of the people that they are caring for. 30/08/2009 10/07/2009 10/07/2009 Care Homes for Older People Page 7 of 9 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 Older People Page 8 of 9 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 9 of 9 - 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!
