Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Charterhouse Residential Care Home Second Drive Dawlish Road Teignmouth Devon TQ14 8TL The quality rating for this care home is: The rating was made on: two star good 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: Judy Hill Date: 2 2 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Charterhouse Residential Care Home Second Drive Dawlish Road Teignmouth Devon TQ14 8TL 01626774481 01626774481 margaretbrett@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Stephan Barry William Brett,Margaret Louise Brett care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability 0 0 0 0 Over 65 20 20 20 20 Conditions of registration: Date of last inspection Brief description of the care home Charterhouse is registered to provide accommodation and care for a maximum of twenty people who are elderly and who may have a physical disability or dementia. The home does not provide nursing care. The home is a large detached property situated on a quiet road about half a mile from the centre of the Devon seaside town of Teignmouth. Teignmouth benefits from having a train station and regular bus services. Care Homes for Older People Page 2 of 9 Information provided to the Commission tells us that the fee levels range from 372 and 425 pounds a week and that the actual fee charged depends on the assessment of individual residents needs and room occupied. Additional charges include chiropody 12 pounds, Hairdresser from 6.50 and paper/magazines at price charged. Information about the home including a copy of the last inspection report can be obtained on request from the Home. Care Homes for Older People Page 3 of 9 What we found:
This random inspection was carried out in response to information received that the person who was in day to day charge of the home, but not registered as manager, was leaving her post the following day. We were told that she had made her decision to leave following the receipt of a letter from Mrs Brett suggesting measures that could be taken, including cutting management hours, as part of an economy drive. Concerns were also raised about the safety of the residents because of the condition of the premises, the mobility aids and the fire safety precautions. We were concerned that the staff on duty did not know what arrangements were being put in place for the day to day management of the home following the departure of the person who had, although not registered to do so, been managing the care home. We saw a fire safety risk assessment that had been carried on 9th January 2009. This told us that told us that the premises do not conform to the Regulatory Reform (Fire Safety) Order 2005 in respect of BS 476, BS 5839, BS 5266 and BS 5499. The report also states that the electrical appliance tests have not been carried out in accordance with The Electricity at Work Regulations 1989. We have contacted Devon and Cornwall Fire Service and asked them to carry out an inspection of the premises. We carried out an inspection of the premises during a site visit on 22nd January 2009 and saw that the parts of the home were poorly maintained. We saw three members of staff trying to help a resident who uses a wheelchair to access the communal toilet on the ground floor. The toilet was not large enough to accommodate her wheelchair and so she was being transferred from the hall to the toilet. It was clear that this experience was causing distress to the resident. A second communal toilet on the ground floor is not accessible to people with poor mobility or people with dementia as it is in a part of the home that is separated from the main accommodation by a combination lock and steps. During our visit we looked at the residents bedrooms and found all of them to be in need of some repairs, redecoration or refurbishment. We saw that an ongoing recommendation to fit radiator covers had not been dealt with and the risk of residents scalding themselves remains. The laundry facilities are in the basement and although the home has appropriate washing machines there is no drier. We saw that washing was being dried on clotheslines in a room in the basement and were concerned that the close proximity of a naked bulb to the washing lines could place the staff at risk of receiving a burns or an electric shock. The home has a passenger lift and reports of service visits carried out on 28th May Care Homes for Older People Page 4 of 9 2008 and 29th December 2009 show that some recommended repairs have not been carried out. At the time of the site visit we were told that the care staffing levels were three care staff on duty in the mornings and two in the afternoons, with an additional member of staff coming in to help at tea-time. In addition to this there is a cook and a cleaner. We were told that one care worker is on waking duty during the night and that it had been suggested that one of the two care workers who live on the premises could provide sleeping in cover. As it was observed that at least one resident needs two people to assist her to use the toilet, the minimum number of waking night staff on duty to meet her needs is two. The registered persons in control are Mr Stephan and Mrs Margaret Brett, they have not been in charge of the day to day running of the home for some time and although they have had appointed a manager this person has not applied for registration. A flat is retained at the home that the owners use when they carry out their statutory visits. Mr and Mrs Brett have formed a limited company to carry on the business but Brett Care Homes Limited had not applied to be registered at the time of this report. The Company Secretary is aware that the company need to apply for registration and has confirmed that this will be done. 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 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 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, 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 19 23 The premises must be 27/03/2009 maintained in a good state of repair. To ensure that the residents live in a safe environment. 2 19 23 Adequate precautions must be taken against the risk of fire, including the provision and maintenance of fire equipment and fire doors. To protect the people living and working at the home in the event of fire. 27/03/2009 3 22 23 Suitable adaptations, such as 27/03/2009 support, equipment and facilities as may be required must be provided for residents who are physically disabled. This includes ensuring that repairs to the lift are carried out. To enable the people with physical disabilities to access all parts of the home safely. 4 22 13 Suitable arrangements must be made to provide a safe system for moving and handling residents. 27/03/2009 Care Homes for Older People Page 7 of 9 To protect the residents and staff from harm. 5 22 23 As the home is registered to 27/03/2009 care for people with physical disabilities, suitable mobility aids must be provided and maintained in good order. To enable people with physical disabilities to use the bathrooms, toilets and passenger lift safely. Having regard to the size of the home and the number and needs of the residents, suitably qualified staff must be employed in sufficient numbers to meet the needs of the residents at all times of the day and night. To ensure that the needs of the residents can be met. 27/03/2009 6 27 18 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 2 25 31 All radiators should be covered or have a guaranteed low temperature to remove the risk of residents being scalded. The registered persons, Mr and Mrs Brett, must ensure that the Brett Care Homes Limited are registered to carry on the home and that a suitable manager is employed and registered to manage the day to day running of the home. Care Homes for Older People Page 8 of 9 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 © (2009) 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 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!
