This inspection was carried out on 14th May 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Edge Hill Residential Home 315 Oldham Road Royton Oldham Lancashire OL2 6AB two star good service 29/09/2008 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: Fiona Bryan Date: 1 4 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Edge Hill Residential Home 315 Oldham Road Royton Oldham Lancashire OL2 6AB 01616248149 F/P01616248149 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) : Mr Sunil Odedra,Mrs Shanti Odedra care home 36 Number of places (if applicable): Under 65 Over 65 5 28 3 dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 The home is registered for a maximum of 36 places to include: *up to 28 service users in the category of OP (Old age not falling within any other category). *up to 5 service users in the category of DE(E) (Dementia over 65 years of age). *up to 3 service users in the category of PD(E) (Physical disability over 65 years of age). The service must employ at all times a suitably qualified and competent manager who is registered with the Commission for Social Care Inspection. Date of last inspection 2 9 0 9 2 0 0 8 Care Homes for Older People Page 2 of 9 Brief description of the care home Edge Hill is a privately owned care home, which is registered to accommodate 36 people. The home is situated on the main Royton to Oldham road and is within easy reach of shops and public transport services. The building is a detached property with pleasant gardens to the front and car parking space to the rear. Accommodation for service users is provided on the ground and first floors of the building. A passenger lift has been installed between these two floors, and ramped access has been provided externally. There are 30 single bedrooms, 12 of which have en-suite toilet facilities (some of which are shared), and three double bedrooms, all of which have en-suite facilities. Fees for accommodation and care at the home range from £360.00 to £380.00 per week. A service user guide is available on request. Care Homes for Older People Page 3 of 9 What we found:
This random inspection took place on Thursday 14th May 2009. Staff at the home did not know this inspection was going to take place. We did this inspection following a safeguarding investigation which highlighted concerns about care practices within the home and poor record keeping. We wanted to check what systems the manager had in place to help her check that staff were following the correct procedures and keeping accurate records so people could be properly monitored and care could be given that met their needs. We spent 3 hours at the home and looked in detail at the care being provided to 3 people. We looked at their care files and checked whether the care stated as being needed in their care plans was what staff were actually doing in practice. We also looked at the accident and incident records to see how accidents within the home had been managed. The manager was not on duty when we visited so we have telephoned her and discussed what quality monitoring arrangements there are at the home and what training staff have had to ensure they have the skills and knowledge to deliver care effectively. What the care home does well: What they could do better:
Each person had a care plan but these tended to be quite general and did not give a lot of specific information about the care staff needed to give and how the care would be monitored to make sure it was properly meeting peoples needs. Care plans were generally reviewed monthly and this was recorded on a separate form. It was not clear from these forms if risk assessments were also reviewed at the same time. Some risk assessments were inaccurate and this meant that people were at higher risk, for example of pressure ulcers, than had been identified, so staff might not take appropriate steps to minimise the risk or seek further advice. Several people could not be weighed due to their physical condition. The dietician had advised staff of an alternative way to measure one persons weight gain or loss but staff had not followed these instructions so they could not evaluate if the person was still losing weight. Nutritional risk assessments were not up to date for several people.
Care Homes for Older People Page 4 of 9 Two people had been reviewed by Social Services in 2007 and it was recorded that reviews were recommended for both of them in 2008. There was no evidence that these reviews had taken place and the manager should be proactive in liaising with Social Services to arrange these reviews to ensure peoples care plans are discussed and agreed as being suitable to meet their needs. A review had taken place for one person in December 2008. This persons relatives were happy with the care they were receiving but the Care Manager (Social Worker) had made several recommendations. These included updating care plans and reviewing risk assessments as they were not up to date and did not reflect the persons needs. Many of the recommendations made by the Care Manager had not been acted on. At the last key inspection we recommended that care plans and risk assessments should be dated and all appropriate parts of the documentation should be amended when there is a change in someones condition but we found that there were still some shortfalls in record keeping. Although staff generally recorded the care they had given to people being looked after in bed (on charts in their rooms), closer inspection showed that people were often left in the same position for long periods of time. This presents a risk to people that their skin will become sore. Accident and incident records showed that several people had suffered a number of falls. A full record of all the falls people had was not always provided in their care files. This meant that increased risks to people might not always be identified and steps taken to minimise the risk where appropriate. We asked the manager what system she had in place to make sure that records were kept up to date and staff were following care plans and actions requested by other members of the multi-disciplinary team. The manager said she did check care plans approximately every month but there was no formal system for recording this. It was recommended that a system be developed where shortfalls in record keeping or actions arising as a result of the changing needs of people were documented and appropriate action to address shortfalls was delegated and monitored. Some accidents had resulted in people attending hospital for Xrays or treatment. We were not always notified about these incidents and this was discussed with the manager. As the manager was not on duty on the day we visited we were unable to view staff training records. Discussion with the manager highlighted that further training would be beneficial for staff in safe guarding adults, managing challenging behaviour and care planning and record keeping. At the last key inspection we recommended that all staff undertake training in safeguarding through Oldham Council but this has not yet been acted on. 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 9 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 9 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 7 15 All care plans and risk assessments must be dated and amended when there is a change to a persons condition. This will enable staff to see when changes have been made and assess whether the action they have taken has improved the condition of the person. 26/06/2009 2 18 13 All staff must attend training 28/08/2009 regarding safeguarding adults. This will ensure they are fully aware of what constitutes abuse and the actions they need to take if they suspect abuse is taking place. 3 33 24 The manager must put in place a system to monitor the quality of care being provided to people living at the home. This will ensure that shortfalls in record keeping 26/06/2009 Care Homes for Older People Page 7 of 9 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 and care practices are identified and can be addressed. 4 38 37 The manager must ensure that accidents and incidents occurring in the home are reported appropriately. This will ensure that other agencies are informed when events happen in the home. 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 12/06/2009 1 7 Care plans should be more detailed and give clear information about each persons abilities and preferences, what specific care staff need to provide and how they should monitor the person to ensure their care is appropriately meeting their needs. Staff should make sure that they follow the advice of other healthcare professionals so each persons care needs are fully monitored and changes are identified and acted on. 2 8 Care Homes for Older People Page 8 of 9 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 9 of 9 - 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!
