Random inspection report
Care homes for older people
Name: Address: Consort House Nursing Home Consort Village Care Centre Tor Lane Hartley Plymouth Devon PL3 5TX one star adequate service 03/02/2009 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: Clare Medlock Date: 2 2 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Consort House Nursing Home Consort Village Care Centre Tor Lane Hartley Plymouth Devon PL3 5TX 01752789861 01752785884 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Katie Wells-McCulloch Type of registration: Number of places registered: Conditions of registration: Category(ies) : XCEL Care Homes Ltd care home 58 Number of places (if applicable): Under 65 Over 65 0 0 old age, not falling within any other category physical disability Conditions of registration: 0 58 Rooms 7 and 11 on the second floor may not be used to accommodate service users until such time as the Commission confirms it is satisfied with the ensuite facilities in those rooms. The maximum number of service users who can be accommodated is 52. The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following catgories: Old Age, not falling within any other category (Code OP) - maximum of 3 places Physical disability (Code PD)
Care Homes for Older People Page 2 of 8 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: Physical disability (Code PD) Until that confirmation, the maximum number of service users who can be accommodated is 56. After that confirmation, the maximum number of service users who can be accommodated is 58 Date of last inspection Brief description of the care home Consort House Nursing Home is a care home which provides nursing and personal care for up to 58 people (The figure written above is incorrect at time of writing this report) of either gender. The home is one of three homes owned by the registered Providers, XL care Homes Ltd. The accommodation is arranged on 3 floors. There is a passenger lift providing access to all floors. All bedrooms have an en suite WC and wash hand basin and built in wardrobe space. Communal facilities comprise of a dining room and lounge on the ground floor, and a further lounge, quiet room and conservatory on the 1st floor. The home is situated in its own, pleasant, level grounds and includes a pond and seating areas. There are a number of parking spaces for visitors at the front entrance of the home that is securely protected by keypad entry. The homes fees range from four hundred and fifty pounds upwards and depend on the level of care that is needed. The statement of contract lists what is included and not included within these fees. The statement of purpose and service user guide can be found in the main entrance hall. 2 5 0 6 2 0 0 9 Care Homes for Older People Page 3 of 8 What we found:
This random Inspection took place between 05.00 am and 10.50 am on Thursday 22nd October 2009. We visited the home because we had received an anonymous complaint raising concerns that There is no registered nurse on duty at night. The staff on duty at night have an NVQ Level 2 qualification. There are low numbers of staff on duty. (The home is registered to provide nursing care for up to 52 people.) and Residents care is being compromised because of low staffing levels. Therefore people are in wet beds because staff do not have the time or numbers of staff to ensure everyone is dry. We found that on the night of our inspection there was a registered nurse on duty. All staff we spoke with said there is always a nurse here and I always have a nurse on duty with me. One member of staff said that in all her years working there had only ever been one occasion where there had been no nurse and that was some months ago because the nurse phoned in sick one evening. the member of staff explained that the manager was called in to cover the night shift. Feedback about care staff numbers indicated that agency staff are used to increase numbers on occasions. This means that agency staff are unfamiliar with a persons needs meaning care takes longer so affects Care and time for other people. On the night of the inspection there were no agency staff working. There were three carers upstairs and two carers downstairs. One female member of staff is responsible for one to one supervision of a resident throughout the night. This means that when she takes her break, another female carer is taken away from the floor where she is working. On the night of this inspection this meant that the male carer was left to manage the care of all the residents on his floor alone. We noted that the staff on duty were struggling to meet the care needs of people for whom they were caring. They explained that this was often the case. We noted a number of people with high dependency needs require one to one staff and at times were not having this provided. We also noted that staff were struggling to meet the needs of people whilst two care staff were assisting other people with moving and handling requirements. The information we gathered and the evidence we witnessed showed us many examples where staffing numbers result in a delay of care being provided for people at Consort House, especially during twilight and daybreak hours. The information we gathered also highlighted a specific time of night and evening (Twilight) was sometimes insufficiently staffed to meet the needs of people living at the home. Security was raised as an issue at this inspection. We were able to gain access through the rear gates of the building as these were open. This has been raised as a security risk on previous inspections. Prior to our entry into the home, we noted the kitchen windows
Care Homes for Older People Page 4 of 8 were also open and accessible for entry. The back door was appropriately locked and the security code had been changed since the last inspection. It took approximately 10 minutes to raise anyone to come to the back door to let us in. Once alerted, the registered nurse on duty let us into the building. The registered nurse was unaware the windows in the kitchen were open until we showed her. We highlighted the fly screen was not lockable and how easy it was to slide open, showing that it was a very feasible route of entry. In addition to the above shortfalls, we noted that the upstairs and downstairs treatment room doors were not always locked. This has previously been an issue at inspections resulting in an Immediate Requirement. 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 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 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 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
