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 5 0 6 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 Janice Brown Mrs Katie Wells-McCulloch Type of registration: Number of places registered: Conditions of registration: Category(ies) : XCEL Care Homes Ltd care home 52 Number of places (if applicable): Under 65 Over 65 3 0 old age, not falling within any other category physical disability Conditions of registration: 0 52 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) Date of last inspection
Care Homes for Older People 0 3 0 2 2 0 0 9 Page 2 of 8 Brief description of the care home Consort House Nursing Home is a care home which provides nursing and personal care for up to 52 people 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. Care Homes for Older People Page 3 of 8 What we found:
A random inspection was performed on 25 June 2009. This was in response to a complaint received about care of the person at the home. The complaint related to pain relief and personal care of the person. Prior to the inspection we spoke with the safeguarding team who confirmed that an assessment had been performed by delegated healthcare professionals. The findings were that there was insufficient concerns to process this complaint through the safeguarding process. Not all aspects of the complaint were fully investigated by the care quality commission. The complaint was therefore passed on to the home for response and full investigation using the homes complaints procedure. We found evidence to show that the person had received adequate pain relief in a timely manner including relief for breakthrough pain. It was noted that the recording of some medications could be improved in accordance with best practice guidance. Records showed that generally the person had received a good standard of personal care. However, it was noted that personal care charts used by the home are not always transferred into the Liverpool care pathway records. Inspection confirmed that a drug error had occurred at the home. No ill effects were caused and appropriate action had been taken following the drug error. Healthcare professionals were informed, the care quality commission has been informed. We also saw other improvements have been made since the last inspection. The Provider and manager were keen for the next inspection to record what changes and improvements have taken place. What the care home does well: What they could do better:
We found there were no breaches in regulations. Minor recommendations were made. Although people receive adequate pain relief in a timely manner the recording of some medications could be improved in accordance with best practice guidance.
Care Homes for Older People Page 4 of 8 Although family and staff confirm that people receive a good standard of personal care in their final days improvements to record keeping would show what care had been provided. Please note: the existing three requirements (below) were not inspected on this occasion. The Provider and manager have submitted an action plan shortly after the last inspection explaining how these were to be met. Therefore these may have been met already and not reflected in this report. You may contact the provider about action on these remaining requirements. 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 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 8 13 Systems must be introduced 14/08/2009 to ensure that people in communal areas have access to call bells or ways of asking for help. So people are safe at all times 2 12 12 Work ethics and training 14/08/2009 should continue to ensure that staff work in a person centred way rather than focusing upon tasks and jobs So people can have more choice and control over their lives 3 29 19 Staff must not work at the care home unless full and satisfactory information is provided, including recent photograph so it can be shown that staff have had all pre employment checks 14/08/2009 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 1 8 Systems should be in place to show what personal care has been provided when people have their care recorded in the Liverpool care pathway records. Administration records for all medications should be recorded in accordance with best practice guidelines. 2 9 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!
