This inspection was carried out on 26th January 2008.
CSCI found this care home to be providing an Adequate 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Carshalton Nursing Home 28 Salisbury Road Carshalton Surrey SM5 3HD 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: Alison Ford Date: 2 6 0 1 2 0 0 8 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: Sweet Homes Ltd care home 33 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 0 0 Over 65 10 33 Conditions of registration: 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) The maximum number of service users who can be accommodated is: 33 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. As an existing care home some of the facilities would not meet the requirements of a newly registered home. A large proportion of the accommodation is provided in shared rooms, without en-suite facilities and they are Care Homes for Older People
Page 2 of 11 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 fees range from £525- £550 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. Care Homes for Older People Page 3 of 11 What we found:
We visited this service at 06:00am on a Sunday morning following various allegations that had been made. These stated that residents were not being put to bed at night and were having to sleep in their chairs, accidents had happened and they had not been recorded and the appropriate agencies had not been informed, residents were having to eat food that was out of date, there were no dietary choices and staff were verbally aggressive. These concerns are also being investigated by Sutton Social Services in accordance with their safeguarding procedures. When we visited there were only two residents up, everyone else was still asleep in bed. The two people who were up had obviously been in bed during the night. One was sitting in a chair having been washed and dressed, the other was being helped to dress. Neither of them were able to communicate with us however they looked well cared for and happy. The kitchen was clean and tidy, staff had access to food and milk so that they could make residents a snack if they wanted one. We looked at the menus which were varied and there was a list of peoples preferences and dislikes. We did find two tinned products that were past their use by date. The person who is responsible for the home will address this with the cook. We looked at the accident records which were all in order and we spoke with the staff. They were able to tell us about training that they had received in recognising and reporting abuse . They were pleasant and receptive to the inspection process and treated residents with respect and kindness. What the care home does well: What they could do better:
At this visit we found that the automatic closers on some bedroom doors were not working. To ensure the safety of the residents we issued an immediate requirement to have this rectified and it has since been done. We also noted that the rear exit fire door needs a key to open it. During the day it is not locked and there is an alarm on it however, it could be a problem at night when it is locked. The person responsible for the home has agreed to consider an alternative Care Homes for Older People
Page 4 of 11 lock for this door. We also raised a concern about the lift. which is not working properly. The engineer has posted instructions for its use on it to minimise the risk of someone becoming trapped however a more permanent solution must be found. 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 11 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 1 4 and 5 There must be a clear 30/03/2008 Statement of Purpose and Service User Guide produced for the home, which complies with the regulations. This must be produced in a format that is suitable for the people for whom it is intended. Previous timescale 30/10/07 not met 2 3 14 Pre-admission assessments 30/03/2008 must contain evidence that the social needs and preferences of people have been considered so that they can be sure that life in the home will suit them. Previous timescale 30/10/07 not met 3 7 15 Residents care plans must 30/03/2008 contain more information about their past lives and achievements so that care staff are able to understand their present behaviours and plan activities that will entertain and stimulate them. Care Homes for Older People Page 6 of 11 4 12 16(2)(n) The range of activities offered to residents must be increased to provide more interest and stimulation to their day. Previous timescale 30/10/07 not met 30/03/2008 5 16 22(2) A more secure way of maintaining the complaints record must be found. Previous timescale 30/10/07 not met 30/03/2008 6 16 22(2) The complaints policy must 30/03/2008 be produced in a format that is more suitable for the people who live in the home. Previous timescale 30/10/07 not met 7 19 13(4)(c) Automatic fire doors must be 28/02/2008 checked regularly to make sure that they are always fully operational. 8 19 23(2)(o) Unwanted equipment must 30/03/2008 be removed from the garden and it must be made a more pleasant area for residents to use. Previous timescale 30/10/07 not met 9 19 13(4)(a) All radiators in the home, 28/02/2008 including those in the lounge, must be guarded to prevent residents from harming
Page 7 of 11 Care Homes for Older People themselves. Previous timescale 30/10/07 not met 10 19 23(2)(d) The redecoration and refurbishment programme must continue. 30/03/2008 11 29 19(1) No new member of staff may 08/01/2008 start work until all of the necessary checks have been completed so that people who have been judged as not being suitable to work with vulnerable adults are not employed. 12 31 8(1) An appropriately experienced 30/03/2008 and qualified person must be put forward for registration as the manager for the home. Previous Timescale 30/05/07 and 30/10/07 not achieved. 13 33 24(1) There must be evidence that 30/03/2008 the people who use this service are able to influence the care and services that are provided by the home Previous timescales 08/11/06,30/10/07 not achieved 14 36 18(2) There must be documented 30/03/2008 evidence that all staff are receiving regular supervision. Previous timescale Care Homes for Older People Page 8 of 11 08/11/06,30/05/07,30/10/07 not achieved 15 38 13(4)(c) Copies of certificates relating 28/02/2008 to the maintenance of gas and electricity and a copy of the report following the latest kitchen inspection must be forwarded to the local Commission for Social Care Inspection office. There must be evidence available at inspection visits to show that all equipment and services have been regularly maintained and checked. Previous timescale 30/05/07, 30/10/07 not achieved 30/03/2008 16 38 13(4)(c) Care Homes for Older People Page 9 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, 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 38 13 There must be evidence 06/12/2008 available to show that the lift is fully operational In order to ensure the safety of both residents and staff. 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 10 of 11 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 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!
