Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Edwardian Care Home 168/170 Biscot Road Luton LU3 1AX The quality rating for this care home is: The rating was made on: one star adequate service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Sally Snelson Date: 1 0 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Edwardian Care Home 168/170 Biscot Road Luton LU3 1AX 01582705100 01582705106 edwardian170@yahoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: The Edwardian Care Home Ltd care home 30 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category 0 0 Over 65 12 30 Conditions of registration: 1 named person above the age of 60 years Date of last inspection Brief description of the care home The Edwardian is a purpose built care home that provides single room accommodation for 30 people over 65 years of age including those who have dementia and/or physical disabilities. The home is on a busy road, which is a short car or bus ride away from Luton Town Centre. Accommodation for people using the service is on the ground and first floor with a further third floor that accommodates administrative and staffing offices. Access to all floors is via staircases and a shaft lift. The home borders straight onto the pavement area of the street with a small ornamental garden to one side that is not suitable for recreational purposes. A small patio area with summertime pagoda and garden furniture is situated to the rear of the building, as is car parking. The manager told us that fees were under review, as the home was not accepting Care Homes for Older People Page 2 of 10 admissions, but were in the region of £450-£550 depending on the assessed needs and the room occupied. Care Homes for Older People Page 3 of 10 What we found:
This random inspection was carried out as the service was rated as one star, adequate. Prior to that the home had been rated as poor and the manager, who had been instrumental in raising the standards, had not been in post very long when we did the last inspection. We wanted to ensure that manager had continued to make improvements and sustain those improvements that she had implemented. We looked at the file of one new resident. There had been an embargo on admissions imposed by the Local Authority, until after the last inspection, so we had not been able to assess this area. We noted that the admission procedure had been followed correctly and that the home had assured it was able to meet the needs of the new resident. Care plans had been correctly written, and it was apparent that staff were updating and reviewing care plans regularly. During the embargo the manager had moved all the residents onto one of the two floors, and had taken the opportunity to replace soiled carpets with laminate flooring in the lounge that was closed. The ground floor remained closed at the time of our visit, but as the first floor was full it was expected that this situation would alter very soon. The ground floor lounge was used for some activities and it would be used for Christmas dinner. The home was clean and tidy and warm and tastefully decorated for Christmas. At the time of our visit, in addition to the manager there were four care staff, a cook and a cleaner on duty. All the staff we spoke to were positive about the changes and praised the managers ability to manage the home. The manager told us it had been a difficult time and she had experienced some opposition from staff in the first instance, but she had enjoyed the challenge and now believed the home was moving towards a more stable period. She was looking forward to having increased occupancy and recruiting additional staff to support this. The manager told us she had downloaded the necessary forms to apply to us to become the registered manager and must now fill them in. We would urge her to do this. We looked at the ways in which the home ensured that they were providing a good quality of care. We were disappointed that, despite a requirement made to the Responsible Individual that Regulation 26 visits must take place, these had again ceased because the person nominated by him had moved on. In addition to this being a requirement under the Care Standards Act it is a process whereby someone, other than the manager, can review and report on the way the home is operating and hopefully prevent any major shortfalls. The manager had sent out quality questionnaires to stakeholders. The inspection spanned a lunchtime, during which we observed it to be a social occasion, with staff supporting residents appropriately. We discussed with the manager the situation over the last few months since she had taken up the position of manager. She told us she had been well supported by the Care Homes for Older People Page 4 of 10 Local Authority and the Health Trust who had supplied training opportunities and had audited various areas of the home including the administration of medication. There had been some areas of concern such as unexplained bruising, however these were always identified and appropriately reported. On the day of the inspection one resident was in hospital following a fall. Paramedics had been called at the time and could find no injury, the GP had also visited, but because of the continued pain experienced by the resident ,staff had correctly had her admitted to the hospital via the accident and emergency department. 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 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 3 14 A comprehensive assessment 27/06/2008 must be undertaken prior to the admission of any person to ensure there is sufficient information to ascertain if staff at the home are suitably qualified and competent to meet the needs of the person. This requirement could not be assessed. Previous timescale 01/04/08 2 7 15 A care plan must be in place 27/06/2008 for each assessed need for every person, which provides sufficient guidance to staff to ensure continuity of care is provided. This requirement is almost met but is re-stated. Previous time-scale 01/04/08 3 9 13(2), 17(1) Medication systems and 27/06/2008 training must be sufficient to ensure safe recording, handling and administration of medication. This is to ensure effective auditing can take place and people receive their medication when required. Care Homes for Older People Page 6 of 10 This requirement is almost met but is re-stated. Previous time-scale 01/04/08. 4 12 16(2) There must be activities 15/08/2008 arranged for the people living at the home who are less able. All incidents of injury that requires medical attention must be reported to the commission. 18/07/2008 5 18 37 6 19 16(1) The carpeting which is 15/08/2008 heavily stained must be replaced to provide a suitable environment for people to live in. This requirement is restated. Previous time-scale 01/04/08. 7 27 18(1) There must be a training matrix in place that ensures that the staff team have the necessary skills and qualifications to meet the needs of the people living at the home. 01/09/2008 8 33 24 (1) (2) (3) The home must evidence 01/09/2008 effective quality assurance and quality monitoring systems and must have an annual development plan for the home, based on a systematic cycle of planning - action - review - reflecting aims and outcomes for service users. 18(2) All staff working at the home 27/06/2008 9 36 Care Homes for Older People Page 7 of 10 must be supervised at least six times a year. This requirement is restated. Previous time-scale 01/04/08. 10 38 12(1) There must be documentation to support what has been done when health and safety checks indicates a deviation. 18/07/2008 Care Homes for Older People Page 8 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, Care Homes 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 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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) Commission for Social Care Inspection (CSCI). 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 CSCI 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!
