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Inspection on 03/11/08 for Chrissian Residential Home Limited

Also see our care home review for Chrissian Residential Home Limited for more information

This inspection was carried out on 3rd November 2008.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The annual service review said there had been concerns expressed from staff and relatives about the lack of activities on offer. In response the manager wrote to us to say that `we do entertain the residents on a Thursday afternoon`. And that he would go on to survey residents and staff about activities/entertainment. This matter was looked at during inspection. People we spoke with confirmed that entertainment was provided on a Thursday and this tended to be bingo as it was a favourite of the residents. The manager had conducted a survey and was in the process of looking at the results. One very positive development was that a staff member had enrolled upon a course at a local college entitled `Promotion of activities in a care setting`. We fed back to the manager that we would expect to see activities on offer each day based upon residents preferences. A previous requirement we had made was to review the use of bedsides as a resident had climbed over these. We found that the home no longer uses bedsides and had found an alternative way of managing the situation. There were two people currently at the home who were at risk of falling out of bed and in these cases specific thick `crash mats` were placed at the side of the bed should they roll out out bed. This method allowed freedom of movement out of bed and allow the residents to sit up whilst keeping them safe in the event of falling out of bed. The manager told us that in response to our requirement around lockable facilities to be provided. The home had purchased safes to go in bedrooms for residents to keep possessions and money secure. The laundry floor had been recovered and now was able to be cleaned thoroughly. Environmentally there had been decoration of communal areas and both lounges had a flat screen TV and new stereos installed for use by residents.

What the care home could do better:

Chrissian House had information available about the service entitled Statement of Purpose. The manager explained that this was one document available to all. This however did not contain the terms and conditions and the fees. The manager said he would amend this. We fed back to the manager our concerns around manual handling as currently the home is not protecting residents and staff as well as it could do. We found that 8 staff had not had training. Training was provided to some staff in 2006. We looked at a certificate of that training and found that it did cover the training we would expect, such as legislation, demonstrations and a duty to use the equipment provided. We spoke with 3 staff about manual handling and staff were reticent to discuss the matter, but one staff member did say that on occasions a resident was lifted by 2 staff. We looked at the care plans of 2 dependent residents who would on occasion needed to be aided to move. There was no manual handling plans in place. We looked at the equipment in the home and found a Nesbit Evans Hoist. This had a label that appeared to indicate that it belonged to Suffolk Social Services. We asked 3 people at the home and no one in the home could say where the hoist came from. The manager agreed to look into this. We did however find evidence that this hoist was being serviced by the home. It had a medium sized sling that would take up to 27 stone. The ambulance service had notified us that the home did not have equipment to lift a person from the floor once they had attended and said the person was not injured. We looked at the accident record and found that this named individual had fallen 6 times this year and their falls risk assessment had not been reviewed and there was no manual handling plan in place for staff to follow to get this person up should they fall again. Ten days after our visit the manager told us by telephone that he had referred this person through the GP to the falls clinic and they were being assessed and appropriate action taken to prevent falls and a hoist was to be provided on the first floor. The home needs to review care needs around manual handling, falls prevention and then provide the appropriate equipment to meet those needs and train the staff accordingly.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Chrissian Residential Home Limited 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN 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: Claire Hutton Date: 0 3 1 1 2 0 0 8 Information about the care home Name of care home: Address: Chrissian Residential Home Limited 526-528 Woodbridge Road Ipswich Suffolk IP4 4PN 01473718652 Telephone number: Fax number: Email address: Provider web address: feizal.molabaccus@ntlworld.com Name of registered provider(s): Name of registered manager (if applicable) Roger Derek Johnson Type of registration: Number of places registered: Chrissian Residential Home Limited care home 22 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 22 Conditions of registration: Date of last inspection Brief description of the care home Chrissian House is situated on a main road into Ipswich town centre. The home comprises two buildings joined together at ground and first floor level. One is known as the annex. There is a medium sized garden to the rear of the building, with patio area and a small amount of outdoor furniture and seating. The accommodation was developed in early 2002 to meet the standards at that time. The number of double rooms was reduced, and new rooms were created when the development was completed. The garden has had landscaping, and is attractively maintained. The home caters for those with low and medium needs only. The home has stair lifts to aid those Care Homes for Older People Page 2 of 8 with poor mobility. The home would not accept a resident who was a wheelchair user at the time of admission. Care Homes for Older People Page 3 of 8 What we found: We decided to complete a random inspection of this service because of information we gathered from our annual service review. We specifically came to look at matters relating to the previous requirements we had made and to note what progress had been made. Also to look at the activities on offer to the resident group, assess the staffing levels and look at all aspects relating to manual handling and the management of falls. Our inspection lasted 4 hours. We examined records, toured the home and time was spent with residents, staff and the manager. The home is registered for the personal care of 22 older people. The home provided 3 staff on duty at all times during the day. There was a cook on duty each day who prepares and cooks breakfast and lunch. In an afternoon a carer prepared the evening meal at which time the manager was available for care duties. The home also employed a cleaner 5 mornings a week. At night there were 2 care staff, with a person on call. Everyone we spoke with during our visit said the staffing levels were OK and about enough. At this time we believe staffing levels were acceptable and did not find anything to lead us to believe otherwise. What the care home does well: The annual service review said there had been concerns expressed from staff and relatives about the lack of activities on offer. In response the manager wrote to us to say that we do entertain the residents on a Thursday afternoon. And that he would go on to survey residents and staff about activities/entertainment. This matter was looked at during inspection. People we spoke with confirmed that entertainment was provided on a Thursday and this tended to be bingo as it was a favourite of the residents. The manager had conducted a survey and was in the process of looking at the results. One very positive development was that a staff member had enrolled upon a course at a local college entitled Promotion of activities in a care setting. We fed back to the manager that we would expect to see activities on offer each day based upon residents preferences. A previous requirement we had made was to review the use of bedsides as a resident had climbed over these. We found that the home no longer uses bedsides and had found an alternative way of managing the situation. There were two people currently at the home who were at risk of falling out of bed and in these cases specific thick crash mats were placed at the side of the bed should they roll out out bed. This method allowed freedom of movement out of bed and allow the residents to sit up whilst keeping them safe in the event of falling out of bed. The manager told us that in response to our requirement around lockable facilities to be provided. The home had purchased safes to go in bedrooms for residents to keep possessions and money secure. The laundry floor had been recovered and now was able to be cleaned thoroughly. Environmentally there had been decoration of communal areas and both lounges had a Care Homes for Older People Page 4 of 8 flat screen TV and new stereos installed for use by residents. 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 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 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, 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 7 13 Where appropriate care plans 01/01/2009 must contain risk assessments relating to manual handling and prevention of falls. This will ensure the safety of resdients and staff. 2 38 13 Appropraite equipment must 01/01/2009 be provided and staff trained in the use of techniques for moving people. This will ensure safe working practices to protect residents and staff and compliance to Manual Handling Operations Regulations 1992. 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 1 Information about the home should contain the terms and conditions and the fees payable. Care Homes for Older People Page 7 of 8 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 © (2008) 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. 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