This inspection was carried out on 7th May 2009.
CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
Random inspection report
Care homes for older people
Name: Address: Edwardian Care Home 168/170 Biscot Road Luton LU3 1AX one star adequate 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: Sally Snelson Date: 0 7 0 5 2 0 0 9 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: Conditions of registration: Category(ies) : The Edwardian Care Home Ltd care home 30 Number of places (if applicable): Under 65 Over 65 12 30 dementia old age, not falling within any other category Conditions of registration: 1 named person above the age of 60 years Date of last inspection Brief description of the care home 0 0 1 0 1 2 2 0 0 8 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
Care Homes for Older People Page 2 of 10 Brief description of the care home 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 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 as the result of a safeguarding alert that alleged that staff were not moving people correctly. The inspection started at 11.30 am. There were four staff on duty for 19 residents. Residents were in the lounge or their bedrooms on the ground and first floor. On the whole staff ensured that their was at least one member of staff on each floor, but at one point in the day all four staff were on the first floor. This was quickly rectified. We read two care plans; one had been reviewed within the last month, but the second had not been reviewed since the 24th March 2009 and the last review was not clear. Foe example we read the statement, (name of resident) is alert. Two carers with all transferring. Mostly in her chair sleeping. It was clear from reading the daily log and observing the resident that she was not alert. We also witnessed two carers transferring a resident using an arjo hoist. The carers were not confident with positioning the resident for transfer, and had to be instructed by the deputy manager. One carer had been employed at the home for only one week, but had previous moving and handling training. The other carer had worked at the home for four months and had been trained. We were told that the hoist that was usually used was being serviced and staff were less familiar with the current hoist. However throughout the procedure one of the care staff ensured that the resident was reassured. The resident did not appear to be uncomfortable with the process. Most of the staff had a good rapport with the residents but there were times, particularly at lunchtime when one member of staff should have been more communicative and asked residents why they had left their lunch and if they wanted an alternative, and not simply removed plates. Turning and fluid charts had been completed up until the day of the inspection, but at 12 midday, when we asked to view one of the charts, staff were completing them all and filling them in with a record of the fluids they had given and the repositioning they had carried out from 8am. We were concerned that retrospective completing of charts is not always accurate. What the care home does well: What they could do better:
They must ensure that all staff are familiar with the available moving and handling equipment. Additional training had been arranged for the week following the inspection so a requirement was not made in respect of this. The remaining requirements from the last inspection remain in place until they are thoroughly assessed as part of the next key inspection.
Care Homes for Older People Page 4 of 10 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 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 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
Page 6 of 10 Care Homes for Older People 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 when required. 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 effective quality assurance and quality monitoring 01/09/2008 Care Homes for Older People Page 7 of 10 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 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. 9 36 18(2) All staff working at the home 27/06/2008 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, 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 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!
