Inspection on 07/07/10 for Charnwood

This inspection was carried out on 7th July 2010.

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

Charnwood 22/02/10

Charnwood 01/12/09

Charnwood 17/08/09

Charnwood 08/04/09

Charnwood 10/07/08

Charnwood 06/12/07

Charnwood 16/05/07

Charnwood 22/05/06

Charnwood 19/10/05

Charnwood 03/05/05

Charnwood 20/09/04

Charnwood 19/04/04

Extracts from inspection reports are licensed from CQC, this page was updated on 03/09/2010.

Random inspection report Care homes for older people Name: Address: Charnwood 68 Bidston Road Oxton Birkenhead Wirral CH43 6UW zero star poor service 12/04/2010 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: Wendy Smith Date: 0 7 0 7 2 0 1 0 Information about the care home Name of care home: Address: Charnwood 68 Bidston Road Oxton Birkenhead Wirral CH43 6UW 01516521984 Telephone number: Fax number: Email address: Provider web address: sheila@charnwoodcarehome.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Sheila Margaret Ashcroft Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr David Ashcroft,Mrs Sheila Margaret Ashcroft care home 19 Number of places (if applicable): Under 65 Over 65 19 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category/ies of service only: Care home only - Code PC 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 The maximum number of service users who can be accommodated is: 19 Date of last inspection Brief description of the care home Charnwood is a large, four storey house on a main road served by bus routes to Birkenhead town centre and other parts of Wirral. There are shops and other local Care Homes for Older People Page 2 of 10 1 2 0 4 2 0 1 0 Brief description of the care home facilities within walking distance of the home. The home has been owned and managed by Mrs Sheila Ashcroft since 1988. There are five single bedrooms and seven that can be shared by two people. There is a spacious garden at the back of the house and a car parking area at the front. Care Homes for Older People Page 3 of 10 What we found: Two inspectors visited Charnwood unannounced on 7 July 2010. The purpose of the visit was to check compliance with the requirements made following our key inspections on 1 December 2009 and 12 April 2010, and with two Statutory Requirement Notices served on 13 May 2010. The outcome is as follows: Outstanding requirements from 1 December 2009 1. All of the staff who work at the home must receive training about safeguarding to ensure that people are protected from abuse. Since our last visit two members of staff, a care assistant and the deputy manager, have attended safeguarding training provided by the local authority. There were no records to show that the other three care assistants have attanded any safeguarding training but the home owner told us that she was waiting for dates to be available for them to attend. This requirement is partly met. 2. The registered person must keep records about all of the people employed at the home as detailed in Schedule 4 of the Care Homes Regulations, and a copy of the duty roster of persons working at the care home. We were provided with copies of duty rotas for three weeks in May 2010 and for the current week (week commencing July 5 2010). The deputy manager told us that she had not written rotas for June 2010 becuase they were the same as for May. This requirement is partly met. 3. The registered person must provide enough staff to ensure that the needs of the people living at the home can be met and they are kept safe. The duty rotas showed that there are always two staff on duty between 8am and 8pm and that the home owner works every night between 8pm and 8am. We were concerned that this is achieved by three people regularly working excessive hours, eg the owner/manager and the deputy manager both working 84 hours this week, and one of the care staff working 64 hours. This requirement is met. 4. All of the people working at the home must have a Criminal Records Bureau check, for the protection of residents. We saw CRB disclosures for all of the staff working at the home with the exception of the administrator. This requirement is partly met. Requirements made on 12 April 2010 1. All staff working at the home must receive training about infection control to help protect residents from the spread of infection. We were told that the owner/manager and the deputy manager attended Infection Control training in June 2010, however they had not received certificates to verify this. Care Homes for Older People Page 4 of 10 There was no evidence to suggest that any other staff have had this training. This requirement is partly met. 2. Care plans must be kept under review and updated as peoples needs change, to ensure that they reflect the current needs of the person and the care that is required. All of the care plans we looked at had been reviewed within the last three months and detailed daily records were completed in full for each person. This requirement is partly met. 3. The medicine trolley must be kept securely. The medicine trolley is secured to a wall. This requirement is met. 4. Replace the carpets that are worn or stained, to ensure that the stairs are safe and to provide a satisfactory bedroom for all residents. The stair carpet has been repaired. A carpet in a bedroom is marked and had a fresh stain on it but was generally clean and there was no unpleasant smell in the room. The home owner told us that she intends to replace the carpet in the near future but there was no definite date for the work to be carried out. This requirement is met. 5. Suitable handwashing facilities must be provided to protect people from the spread of infection. Liquid hand soap and paper towels were available in toilets, and hand gel was available in the entrance area, however there is no handwashing basin in the laundry. This requirement is partly met. 6. New staff must not be employed at the home until two satisfactory references have been received, so that residents are protected from unsuitable staff. We looked at the personnel records for three care staff who had been recruited within the last few months. For two people there was one reference on file and for one person there were no references. The references we saw did not pre-date their employment at Charnwood. There were no personnel records for the homes administrator. This requirement is not met. 7. All staff who handle food must receive food hygiene training, to ensure that food is handled safely. The home owner confirmed that no staff have received food hygiene training. This requirement is not met. 8. All staff who provide personal care must receive training about safe moving and handling of people, so that residents are protected from harm caused by poor moving and handling practices. There was no evidence of any recent moving and handling training and the owner/manager confirmed that this had not taken place. This requirement is not met. Care Homes for Older People Page 5 of 10 9 Maintain a record of all monies kept on behalf of service users, to ensure that there is no financial abuse. There were some records available relating to two residents who receive personal allowance payments from the local authority via the care home. The records were not always maintained accurately or kept up to date. This requirement is partly met. 10. Keep a record of any accidents that occur to service users as required by schedule 4.12.a of the Care Homes Regulations 2001. We looked at the accident record folder and confirmed that records are being completed when an accident occurs. This requirement is met. 11. The CQC must be notified of the death of any person who lives at the home. (This is a legal requirement under Regulation 37 of the Care Homes Regulations 2001.) One of the people who lived at the home died on 22 June 2010. CQC had not been notified, but the form was completed and handed to the inspector during our visit. This requirement is not met. 12. All staff who work at the home must receive fire safety training so that they know what to do if a fire should occur. The owner/manager confirmed that there had been no recent fire training. This requirement is not met. 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 6 of 10 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 18 All staff working at the home 30/06/2010 must receive training about infection control. To help protect residents from the spread of infection. 2 18 13 All of the staff who work at the home must receive training about safeguarding. To ensure that people are protected from abuse. 26/02/2010 3 26 13 Suitable handwashing 31/05/2010 facilities must be provided to protect people from the spread of infection. So that staff and residents are protected. 4 29 19 New staff must not be employed at the home until two satisfactory references have been received. So that residents are protected from unsuitable staff. 20/04/2010 5 29 19 All of the people working at the home must have a Criminal Records Bureau check. For the protection of 07/12/2009 Care Homes for Older People Page 7 of 10 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 residents. 6 30 18 All staff who handle food must receive food hygiene training. To ensure that food is handled safely. 7 30 18 All staff who provide personal care must receive training about safe moving and handling of people. So that residents are protected from harm caused by poor moving and handling practices. 8 35 20 Maintain a record of all monies kept on behalf of service users. To ensure that there is no financial abuse. 9 37 37 The CQC must be notified of 16/04/2010 the death of any person who lives at the home. This is a legal requirement under Regulation 37 of the Care Homes Regulations 2001. 10 38 23 All staff who work at the home must receive fire safety training. So that they know what to do if a fire should occur. 30/06/2010 30/04/2010 30/06/2010 30/06/2010 Care Homes for Older People Page 8 of 10 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 9 of 10 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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