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Inspection on 02/12/09 for Church View

Also see our care home review for Church View for more information

This inspection was carried out on 2nd December 2009.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 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 incident in question was reported to the Care Quality Commission.

What the care home could do better:

Master keys need to be obtained for locks on residents` bedrooms. The on call systemneeds to be reviewed to make sure that a manager can be obtained when needed. Relevant incidents must be reported in full to the Care Quality Commission.

Random inspection report Care homes for older people Name: Address: Church View Green Lane Liverpool Merseyside L13 7EB two star good service 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: Peter Cresswell Date: 0 2 1 2 2 0 0 9 Information about the care home Name of care home: Address: Church View Green Lane Liverpool Merseyside L13 7EB 01512280997 Telephone number: Fax number: Email address: Provider web address: churchviewnh@schealthcare.co.uk www.southerncrosshealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Heather Jean May Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ashbourne (Eton) Limited care home 50 Number of places (if applicable): Under 65 Over 65 0 50 dementia old age, not falling within any other category Conditions of registration: 6 0 The registered person may provide the following category/ies of service only: Care home with nursing - Code N 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 (maximum number of places: 50) Dementia - Code DE (maximum number of places: 6) The maximum number of service users who can be accommodated is: 50 Date of last inspection Brief description of the care home Church View is a care home that provides care and support for up to forty four residents who require nursing or personal care and six residents who require personal Care Homes for Older People Page 2 of 8 Brief description of the care home care for dementia. Comfortable accommodation is provided over three floors with an attractively decorated lounge, dining room and conservatory for residents use. There is also a small separate lounge for residents who wish to smoke. The dementia unit has its own lounge with a small dining area. The home is situated close to all amenities including shops, cafes and a library. Bus and train stations are nearby. There is ample car parking to the front of the home and a garden which is easily accessible. Residents have access to a good standard of equipment to assist them with their mobility and a call system with an alarm facility is available throughout the home. The weekly fee rate for accommodation is dependent on the level of care required. Care Homes for Older People Page 3 of 8 What we found: We spent about an hour at the home. We checked the locks on two rooms and examined the arrangements for opening locked bedroom doors. We discussed the on call arrangements with the manager and examined the service user guide. The inspection followed an incident when a resident locked herself in another persons room and was left there overnight. The rooms occupant had to sleep elsewhere in the home. The incident has been investigated by Liverpool City Council and a report from the manager is now with the owners Operations Manager, Jean Thomas. Liverpool City Council is planning to arrange a meeting about the incident and we did not seek to reinvestigate the matter. The inspection followed an incident when a resident locked herself in another persons room and was left there overnight. The rooms occupant had to sleep elsewhere in the home. The incident has been investigated by Liverpool City Council and a report from the manager is now with the owners Operations Manager, Jean Thomas. Liverpool City Council is planning to arrange a meeting about the incident and we did not seek to reinvestigate the matter. The manager did send the Commission a notification of the incident but it did not contain a full account of what had happened. The manager must make sure that in future a full account is given of anything that may adversely affect the welfare of the people who live at the home. A number of the residents bedrooms have locks fitted. These can be locked from the inside from where they can be opened with a single movement without using a key. If the room is locked then it can only be opened from the outside using a key. At the time of the incident in question the keys could not be obtained and the resident was released only after the Fire and Rescue Service had been called. The manager has now obtained duplicate keys for all of the rooms and they are kept in the nurses station on the ground floor where they are accessible at all times to the staff on duty. The manager has not yet obtained a master key, though she has ordered them, and these need to be obtained as a matter of some urgency. In the event of an emergency there could be delays whilst the right key is obtained. Any delays would be minimised if master keys were available to staff on duty. During the incident the on call arrangements did not work satisfactorily in that a call to the manager, who was on call, went straight to a message service so the manager was not aware of the situation until the following morning. The on call system needs to be revised to ensure that senior staff are immediately available when required. The manager assured us that the risk assessments and care plan for the resident in question have been amended though we did not examine them on this occasion. What the care home does well: What they could do better: Master keys need to be obtained for locks on residents bedrooms. The on call system Care Homes for Older People Page 4 of 8 needs to be reviewed to make sure that a manager can be obtained when needed. Relevant incidents must be reported in full to the Care Quality Commission. 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 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 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 1 23 37 Notifications made to the Care Quality Commission must contain all of the relevant information. The Commission needs to have all of the appropriate information in order to decide what action if any to take. 31/12/2009 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 26 The registered manager should obtain without delay master keys for all lockable bedrooms and these should be readily accessible to staff on duty. There should be procedures in place to enable staff to obtain the support of a senior member of staff in the event of a emergency. 2 33 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. 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