Random inspection report
Care homes for older people
Name: Address: Charlton House 55 Mannamead Road Mannamead Plymouth Devon PL3 4SR one star adequate service 08/01/2009 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: Gail Richardson Date: 0 4 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Charlton House 55 Mannamead Road Mannamead Plymouth Devon PL3 4SR 01752661405 01752661405 charltonhouse.residentialhome@me.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) : Mrs Gill Boyes,Mrs Tonya Gerry care home 43 Number of places (if applicable): Under 65 Over 65 0 43 dementia old age, not falling within any other category Conditions of registration: 43 0 The maximum number of service users who can be accommodated is 43 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Date of last inspection Brief description of the care home Charlton House is a large Victorian property, which is owned by Mrs Gill Boyes and her daughter, Mrs Tonya Gerry who is also the registered manager. Charlton House is registered as a care home for forty-three older people and include up to 5 people who may have dementia. The home is a large and spacious with 5 lounge rooms which
Care Homes for Older People Page 2 of 8 0 8 0 1 2 0 0 9 Brief description of the care home gives the feeling of living in a much smaller home. Thirty rooms have en suite facilities. A limited amount of respite or short stay care is available when vacancies permit. A ramp at the main entrance, stair lifts and a passenger lift facilitates easier access for people with restricted mobility. The home is well situated in a residential area of Plymouth with local amenities and shops nearby. Information regarding the services provided at Charlton House can be obtained directly from the home. The current weekly fees range from 329 pounds to 405 pounds. Although these may vary depending on peoples individual needs. Care Homes for Older People Page 3 of 8 What we found:
The inspection was carried out by one inspector on 4th August 2009 between 06:50 and 09:40. The inspection was carried out as a result of a concern being raised that people using the service are made to get up very early in the morning and are returned to bed in the afternoon. The concern was also that this was expected of staff by the management of the home. These areas are covered by Standard 14 of the National Minimum Standards and Regulation 12 (1)(2)(3)(4) of the care Homes Regulations 2001. For the purpose of this report the term we will be used when referring to the Care Quality Commission. On the day of inspection there were two staff on night duty with a further staff member on call. At 07:00 the Officer in Charge of the home and another care staff arrived. A further three care staff and cook arrived at 08:00. The period of time between 07:00 and 08:00 appeared to be taken up by night and day staff assisting people to get up if they wished and delivering cups of tea. Breakfast was served at 08:00 in the dining room and peoples bedrooms. On arrival at the home we found that four people were up and dressed by the staff. A further five people were attending to their own care needs. All of those people confirmed that they were up at that time of their own choice. We looked at care records for five people who needed assistance and all were signed , dated and timed. All confirmed that the earliest person to rise was 05:30 and this confirmed that this was their choice. The other four people had been assisted between 06:00 and 07:00. We toured the home and looked at care records for another three people which indicated that they had been assisted with care throughout the night and assisted to wash and change clothes between 06:30 and 07:30. We looked at care plans for three people seen to be up and dressed. The care plans detailed that people had night time care needs and how staff were to meet those needs. Two care plans identified the persons preferred time of rising and one did not. One of the preferred times of rising was 08:00 when the person had been assisted to get up around 06:00. The officer in Charge of the home confirmed that an audit of everybodys preferred rising and retiring times would be undertaken and care plans updated to reflect this choice. We spoke with both day and night staff about the routines of the home. It was evident that the staff know the care needs of the people well and good relationships between staff and people using the service was evident. Staff were clear that each person had the right to stay in bed if they wanted and to rise at a time of their choice. Due to this inspection being a focused inspection any previous requirements recorded in this report have not been inspected. We have received confirmation from the registered providers that these issues have been addressed.These will be reviewed at the next key inspection.
Care Homes for Older People Page 4 of 8 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 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 All care plans must be completed in full. This would ensure the staff are able to meet the needs of people living in the home. 31/03/2009 2 9 11 All medication, in particular 31/03/2009 controlled drugs should be recorded, audited and any errors or changes reported to the GP and recorded onto individual files. This would ensure that all people living in the home receive the correct medication. 3 30 18 All staff must have regular 31/03/2009 and updated training to meet the needs of people living in the home. Regular staff training would ensure that only suitable qualified, competent and experienced staff are working in the home to protect the health and welfare of all. 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 14 The registered manager is recommended to ensure that peoples choice of the time the wished to rise and retire is recorded in their care plan and that staff are aware of these preferences. 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!
