Random inspection report
Care homes for older people
Name: Address: Dene Park House Killingworth Road Newcastle Upon Tyne NE3 1SY 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: Allan Helmrich Date: 2 7 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Dene Park House Killingworth Road Newcastle Upon Tyne NE3 1SY 01912132722 01912132733 deneparkhouse@schealthcare.co.uk www.southerncrosshealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross BC OpCo Ltd care home 51 Number of places (if applicable): Under 65 Over 65 51 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 51 The registered person may provide the following category 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 51 Date of last inspection Brief description of the care home Dene Park House is a three storey, purpose built facility situated in South Gosforth a residential area of Newcastle. The home is well served by public transport. The home has a car park to the front from which there is level access to the main entrance. There are grassed sitting areas, which are accessible to, and for the use of, people who use the services and visitors. The home is registered to provide care to 51 persons in the category of old age
Care Homes for Older People Page 2 of 10 3 0 0 7 2 0 0 9 Brief description of the care home requiring personal or nursing care. The home charges fees of between £447.50 and £508 per week depending upon the needs and requirements of the individual people who use the services. As the home provides nursing care the free nursing care element of the funding is provided in addition to the costs charged to the people who use the service. The home provides information about the service through the service user guide, which is available through the home. Care Homes for Older People Page 3 of 10 What we found:
This inspection was carried out to review the progress made in addressing the issues identified at the last inspection of 30 July 2009. An inspector visited the home unannounced on 27 January 2010 and spent time talking to management, other staff, people living in the home and their visitors. Some records held in the home were also reviewed. We found that: A new manager was appointed in September but as yet she has not made an application for registration with The Commission. Registration demonstrates an ability to manage a home for vulnerable people. The manager stated that staff meetings have taken place in November and December 2009 and the manager plans to hold another within two weeks. No minutes could be found for these meetings and some staff spoken with could not remember a meeting and had not seen any minutes. Other staff confirmed they had attended a meeting. Minutes were seen for a residents meeting held on 2 December 2009 and in the evening of the day of inspection the manager was hosting a surgery for visitors to drop in and meet with her. A resident spoken with stated she had attended the residents meeting. But an issue she brought up was not included in the minutes. A programme for staff supervisions is being put in place. Some staff confirmed they have recently met with the manager. A new complaint register started in October 2009 contained seven recordings. The outcomes of these complaints were not recorded to identify how the issue was resolved. The manager stated that written responses are only provided where the complaint is made in writing. And that some issues were not actual complaints, more dissatisfaction with services provided. People stated the food provided in the home recently was much improved, due to the temporary appointment of an agency chef. A new chef is appointed and is due to commence work in the near future. A third heated trolley has been purchased. This enables each floor to receive meals at the same time and in sufficient quantities. A member of staff was observed taking food to a persons room without a cover on the plate. The door seal to a fridge in the ground floor servery was split providing an area difficult to clean and reducing its efficiency. Staff spoken to stated that no effective changes have been made in the home since the last inspection. However most felt confident the new manager, who they said was approachable, may provide steady leadership and improve the standards currently found in the home. Most staff stated they would not use the staff room in its current poor condition. Most people spoken to complained of boredom. Three people sitting together with a member of staff said that they mostly entertain themselves with sing-a-longs and chatting. They said there is little other activities and no transport to get them out. Two
Care Homes for Older People Page 4 of 10 people sitting together in a lounge said that staff walk past but rarely drop in. One said it would be nice to have some fruit and juice available to them in the lounge as he did not know where the call button was and he couldnt get out of his chair to get it anyway. The wall mounted call button was behind a bookcase. One person said they have many suggestions for activities and would like to speak to someone about them. A visitor said she felt the care provided was good and another said they were happy with the care their relative receives. One resident who spends most of their time in their room stated they have not changed their opinion of the home since the last visit by an inspector but was giving the new manager time to improve things. Two people seen in a lounge after lunch still had food on their chins and their clothes were stained. The home was generally clean and there was fresh fruit and a coffee percolator in the lobby. What the care home does well: What they could do better:
The manager must apply for registration. Ensure staff and residents meetings are fully recorded and that minutes are produced in a timely way and distributed to interested parties. Continue with a programme of staff supervision, enabling staff to meet with management about six times annually. Follow the homes complaints procedure and respond in writing to each complainant. Any issues identified that are not official complaints should be clearly recorded with how the issue was addressed. Ensure the fridge in the ground floor servery is in good working order. Ensure all staff are aware of the need to cover food when transporting it around the home. Review the condition of the staff rest room and make any necessary improvements. Ensure that people have the opportunity to be involved in regular activities of their choice. Consider peoples views about the activities they would like. Remind staff of the need to interact with people in the home throughout their working day. Ensure people have access to the homes call system at all times. Ensure people have access to fresh fruit and juice when they require it. Peoples dignity should be maintained by ensuring they are clean and well presented
Care Homes for Older People Page 5 of 10 following mealtimes. The requirement from the previous inspection to ensure complaints are logged with outcomes and action taken has not been actioned appropriately. The requirement to ensure appropriate induction of staff takes place was not reviewed at this inspection. 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 16 22 All complaints received about 31/08/2009 the service must be logged, dealt with promptly and details kept of investigation, outcome and any action taken as a result. To make sure people are confident their complaints are taken seriously and acted on. 2 30 18 (a) All staff must receive induction training that is specific to their role. (b) Staff training records and certificates must be kept up to date to show all training undertaken. To make sure staff are trained and competent to do their jobs. 30/09/2009 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 12 12 Ensure appropriate actions are taken following mealtimes to keep people clean and well presented. This enables people to feel respected and maintains their dignity. 26/02/2010 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 12 Provide meaningful activities for those people who choose to be involved. Ensure people have access to community activities of their choice. Ensure people have access to fruit and juice at all times. Ensure people have access to call systems in the home. The manager should apply to The Care Quality Commission for registration. Clear accurate recording of meetings held in the home should be available to people shortly after the meeting. Ensure all parts of the home are well maintained including those facilities provided specifically for staff.
Page 8 of 10 2 3 4 5 6 15 22 31 32 33 Care Homes for Older People 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 7 36 Continue with the programme of staff supervisions and ensure staff have the opportunity for regular further meetings to review care practice and development. Promote good hygiene practices. Ensure staff transport food appropriately around the home. Ensure fridges are in good working order and easily cleaned to maintain good hygiene. 8 38 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. 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 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!
