Random inspection report
Care homes for older people
Name: Address: Chimera 21 Alum Chine Road Westbourne Bournemouth Dorset BH4 8DT zero star poor service 06/01/2010 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: Joanne Pasker Date: 1 5 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Chimera 21 Alum Chine Road Westbourne Bournemouth Dorset BH4 8DT 01202767144 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Marise Anne Lena Holden care home 7 Number of places (if applicable): Under 65 Over 65 7 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is 7. 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 category: Old age, not falling within any other category (Code OP) Date of last inspection Brief description of the care home Chimera is a small care home catering for seven older people. Five bedrooms are on the ground floor of the home and two on the first floor. Chimera is located in a residential area of Westbourne close to the local amenities, which includes, shops,
Care Homes for Older People Page 2 of 10 0 6 0 1 2 0 1 0 Brief description of the care home cafes, restaurants and post office; all are within walking distance of the home. The home is a large semi detached building with three floors. All residents rooms are single, three of which have en-suite facilities. The communal areas comprise a loungedining room and large rear garden. There is a paved area at the front of the home overlooking the street and a small sun lounge at the front of the home. Chimera is within walking distance of public transport links to the town centres of Poole and Bournemouth. Care Homes for Older People Page 3 of 10 What we found:
We looked at the care file of one person who had recently moved into the home. It contained a copy of the pre admission assessment which had been signed and dated by the person completing the form. Other appropriate assessments had also been completed within the file but there was no care plan, despite the person having been admitted 6 days previously. There was also no photograph of the person in their file. We also looked at the care files and daily notes of five other people living in the home. Only one of these contained a photograph of the person, to help staff and professional visitors to the home, easily recognise an individual. Care records of people were seen to be securely stored away when not in use, in a lockable filing cabinet in the dining area. Medication records showed that where a variable dose of medication was prescribed, staff were correctly recording the actual amount given. A sample of staff signatures was also seen, showing who had received medication training and was competent in giving medicines to people. The home has also fitted a suitable controlled drug storage cabinet and this was seen appropriately fixed to the wall. The MAR charts were viewed for four people and found that handwritten entries were double signed by two staff members in two of the records but not signed in the other two. There was no MAR chart in place for the resident who also did not have a care plan, despite having been in the home 6 days and prescribed daily medication. Staff stated that they had given the medication as prescribed and had recorded this in the persons daily notes instead. However this was not well recorded and the entries seen, did not account for all of the prescribed medication due on each day. Also one medication which was only due once a week, had not been recorded as being given at all, although staff said they remembered administering it. A tour of home showed that some actions had been taken to address the requirements made in the last report relating to health and safety. These included: Repairs made to a wall in bedroom 7 and one radiator covered, with another cover being made for the outstanding radiator. The radiators in both ground and first floor bathrooms remained uncovered. Mrs Holden discussed the ground floor radiator and how this was placed in a difficult area to cover and that a risk assessment had been completed. This instructed staff to turn the radiator off 30 minutes before the bathroom was due to be used, therefore decreasing the risk of accidental burns. However this is seen as an interim measure and the home were unable to evidence that this takes place. We looked at the recruitment file of one recently employed staff member. We found that there was compliance with respect to a health declaration, proof of their identity, a photograph, two references, a criminal record bureau check and a check against the register of people unsuitable to work with vulnerable adults. However we found that this person had not completed a full employment history, although had stated that they had previously worked in the care sector but not stated where or their reasons for leaving the
Care Homes for Older People Page 4 of 10 position. Mrs Holden did follow this up during our visit and spoke with the member of staff, who could not remember the name of the home but informed her that it had since closed. We looked at the staff training matrix for mandatory training. Some training was recorded as being delivered in February and March 2010, with more booked for later in the same month. However no certificates had been received at that time to evidence that training had taken place. Mrs Holden told us that a training organisation had been employed to take over the training and recruitment of staff, however this was still not fully up and running. Regulation 37 forms have been submitted to the Commission since the last inspection and appropriately notify us of deaths, illnesses and other events that happen in the home. Body maps have now been introduced to record injuries sustained through accidents, for people living at the home. None were seen completed as Mrs Holden told us that none had been needed so far but they were available and will be kept in peoples care files as required. What the care home does well: What they could do better:
Photographs of residents must be taken and a copy of the residents photograph should be placed at the front of their care plan and medication administration records. All people living in the home must have a written plan of care. It is considered good practice that short term care plans should be place for people within 24 hours of being admitted. Where hand entries are made to medication administration records, a second person should check and sign that the entries are made correctly. Accurate records must be kept of all medicines administered by staff and the home
Care Homes for Older People Page 5 of 10 should review the system for recording medicines when someone is first admitted to Chimera. Unguarded radiators in the home must be appropriately covered in bedrooms and communal bathrooms or evidence recorded of how other risk assessed measures are implemented. It is good practice that a full employment history is sought from any potential staff member, including the details of any last care position worked in and reasons for leaving. Mandatory training received by staff must have certificates available to evidence this. 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 7 15 You are required to have up- 28/05/2010 to-date photographs of residents. So that new members of staff can identify residents. 2 19 13 You are required to cover any unguarded radiators in communal bathrooms or residents bedrooms. To make sure residents are free from the risk of receiving burns from hot surfaces. 28/05/2010 3 30 13 You are required to make 28/05/2010 sure that all staff receive core mandatory training and that there is sufficient evidence to validate this. To make sure staff are competent in their work. Care Homes for Older People Page 7 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 1 7 15 All people must have a 28/05/2010 current care plan, which is kept up to date and includes all of the individuals needs identified in their assessments. This is so staff know what care and support people require to make sure all their needs are met and they are well cared for. 2 9 13 Accurate records must be kept of all medicines administered by staff to people living in the home. This is to ensure that people receive the appropriate prescribed medicines to meet their health needs and an audit trail is kept of accurate administration. 14/05/2010 Care Homes for Older People Page 8 of 10 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 7 It is good practice for short term care plans to be written within 24 hours of a person being admitted to the home. This is so that staff know what care and support that person requires to meet their assessed needs, whilst further monitoring of needs continues. The system for recording medicine administration, when people are first admitted to the home, should be reviewed and blank MAR charts be available for use. It is good practice that a full employment history is sought from any potential staff member, including the details of any last care position worked in and reasons for leaving. 2 9 3 29 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. Care Homes for Older People Page 10 of 10 - 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!
