Random inspection report
Care homes for older people
Name: Address: Cedar House 39 High Street Harefield Middlesex UB9 6EB two star good service 29/10/2008 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: Clare Henderson-Roe Date: 2 7 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Cedar House 39 High Street Harefield Middlesex UB9 6EB 01895820700 01895820600 cedarhouse@schealthcare.co.uk www.schealthcare.co.uk 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) : Southern Cross Healthcare Services Ltd care home 42 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 42 42 Five of the beds currently registered can be used for service users of 55 years of age and over, as agreed by the Commission for Social Care Inspection, on 1st February 2005. To comply with the Minimum Staffing Notice required by the previous regulator as at 31st March 2002. Date of last inspection Brief description of the care home The home is situated in Harefield village. The village centre is within walking distance of the home and public transport, that being bus services, are available. It is a purpose built care home with resident areas on two floors and services and staff areas on the third floor. The floors are interconnected by a lift, which also accesses the third floor.
Care Homes for Older People Page 2 of 8 2 9 1 0 2 0 0 8 Brief description of the care home There is parking to the front and an enclosed garden to the rear. The home is entered and exited by a keypad system. The administrators office is sited near the reception area. There is a designated person who oversees leisure activities. There is one GP who visits the home weekly and the home also has regular input from the Community Psychiatric Nurse. The fees range from six hundred and thirty five pounds to nine hundred and sixty five pounds per week. Care Homes for Older People Page 3 of 8 What we found:
We viewed the wound care documentation for one resident. The documentation was up to date and clearly identified the wound care regime. There had been input from the Tissue Viability Nurse and the care plan had been updated to reflect the change in wound care to be given. The wound progress records had been completed following each dressing change. Pressure relieving equipment in use had been recorded. There was also evidence that where nutritional concerns had been identified a referral is made to the Dietician. There is evidence of input from other healthcare professionals to include GP, Palliative Care Nurse and Community Psychiatric Nurse. We carried out a tour of the home during which we observed the interaction between staff and residents. Staff were communicating well with residents, who were alert and joining in conversations, and there was a good atmosphere on both floors. Staff spoken with were enjoying working at the home and appeared motivated and to be working well as a team. Residents looked content and were dressed to reflect individuality. The home has 4 members of staff who are dignity champions and they work with staff to ensure that the dignity of each resident is understood and respected in all aspects of their life at the home. At the time of inspection the activities co-ordinator was engaging residents in one of the ground floor sitting rooms in a music and movement activity. We also noted that care staff were involving the residents on the first floor in activities, plus staff were available to chat with residents in the second sitting room on the first floor. We viewed the social history section of one service user plan, and this was well completed and provided a good picture of the residents past, to include occupation and interests information. The Manager said that an electronic life history record was also being created for those residents and families who are interested and that these were progressing well. We discussed the activity provision for the home and there is a weekly programme of activities that is followed, plus staff are involved in identifying any dates that have significance from various areas of the world, so that celebrations can be planned. Examples of this were celebrations on Australia Day and St Georges Day. The menu for the day was on display and evidenced the options available for each meal. Additional alternatives are available at each meal and there is also a record of the type of diet required by each resident, for example, soft diet, finger food or pureed diet. The Manager said that work was ongoing to review the timing of breakfast, with a view to providing a longer breakfast time, in order to provide a more individualised approach for the residents. Snacks and drinks are available throughout the 24 hour period. We carried out a tour of premises and the home was clean and smelled fresh. The Housekeeper explained the methods employed to ensure cleanliness is maintained and also that any odours are addressed promptly. There was a minor stale odour in the dining rooms and the Housekeeper explained the cause for this. The possibility of a change to more appropriate flooring for the dining rooms was discussed with the Manager. One bathroom and one lock on a toilet door were out of order, however action was taken and the Manager has confirmed that both issues have been addressed and both rooms are back in full working order. Care Homes for Older People Page 4 of 8 The Manager reported that after a recruitment drive there is now a registered nurse with a mental health qualification on every shift, plus the Deputy Manager has the same qualification. This provides a better skill mix of registered nurses to meet the general care needs and mental health needs of the residents effectively. At the time of inspection the home was appropriately staffed to meet the needs of the residents and also the home overall. Staff spoken with said that the Manager is approachable and supportive, and that they have received a good amount of training and updates to assist them to carry out their work effectively. The Manager confirmed that she has submitted her application to become the Registered Manager for the home. 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 Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 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 19 Consideration be given to replacing the carpets in the 2 dining rooms with appropriate flooring for use in dining areas. 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!
