Random inspection report
Care homes for older people
Name: Address: Eldon House Eldon House Downgate Upton Cross Liskeard Cornwall PL14 5AJ 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: Gail Richardson Date: 1 9 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Eldon House Eldon House Downgate Upton Cross Liskeard Cornwall PL14 5AJ 01579362686 01579362686 s_hancock@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Sharob Care Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 20 Number of places (if applicable): Under 65 Over 65 0 10 20 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 10 0 0 The maximum number of service users who can be accommodated is 20. The registered person may provide the following category of service only: Care Home providing personal care only - CodePC to service users of either gender 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 20 places Dementia - (Code DE) - Maximum 10 places Mental disorder, excluding learning disability or dementia Care Homes for Older People Page 2 of 10 (Code MD) - Maximum 10 places Date of last inspection Brief description of the care home Eldon House is an older property that has been restored and extended to provide care and accommodation for older people. It is situated in a rural area approximately five miles from Liskeard. Accommodation is provided on three floors and comprises 18 single rooms and one double. Four of these rooms are en suite. Access to first and second floor is aided by stair lifts. Communal space is provided on ground floor in a sitting room and a dining room. An additional lounge is available on the first floor. There is level access to the exterior with its extensive grounds. Car parking is available off road next to the home. Sharob Care Homes Ltd also runs a domiciliary care service. 2 6 0 5 2 0 1 0 Care Homes for Older People Page 3 of 10 What we found:
This was an unannounced inspection, which took place over three hours on the 19th August 2010 by Compliance Inspector Gail Richardson. We worked in conjunction with the local Adult Care and Support Safeguarding Lead person. The purpose of the inspection was to gather information and ensure that peoples needs are properly met, in accordance with good care practices and the laws regulating care homes. For the purpose of this inspection the term We will be used when referring to the Care Quality Commission. We looked at policies and procedures relating to pre admissions and admissions to the home. We spoke with the registered manager and two staff members. What the care home does well: What they could do better:
We looked at the pre admission assessment process. We found that this is not always undertaken by the senior staff members. In one instance the information received was limited and did not contain sufficient detail to ensure that staff could formulate a detailed care plan to follow. The management of the home were seen to not always request any input from health professionals involved in peoples care. In one instance there were no assessment documents requested or received to ensure that an informed decision could be made about if the home could meet the persons needs. Some details within the pre admission document were incorrect, this included a current health condition and this may place people and staff at risk. The home has an admission policy which records a plan of action to ensure that, following any emergency admission an assessment will be undertaken within 48 hours. We found that in one case this assessment was not undertaken. Furthermore, no supporting information, assessments or input from health professionals were requested to ensure that the person was appropriately placed at the home. An overall review of pre admission and care plan identified a limited level of communication between the home and other care providers, health professionals and Social Services which meant that the people may be at risk of their needs not being met. We looked at care records for people admitted to the home. The care planning was basic, lacked detail and was not person centered. Not all areas of identified need had a plan of care and this may place the people at risk of not having their needs met. It is also needed so that staff can meet all areas of assessed ensuring peoples choices and preferences have been met. A previous requirement was made about the need for all areas of assessed need to have a care plan in place. This requirement had a timescale to meet the requirement of 23rd November 2009. This requirement has not been seen to have been met. It was also identified that prescribed medication for skin treatment was being administered but was not recorded as prescribed, received or administrated in the Medication Administration Records. The management of the home must ensure that all prescribed medications are recorded and provide a clear audit trail of prescription,
Care Homes for Older People Page 4 of 10 procurement and administration. 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 7 12 The registered person must ensure that all areas of identified need, including management of personal money where this is appropriate, have an agreed care plan in place. This care plan must be reviewed and updated regularly. This will ensure that staff are clear about the persons choices and preferences and those care needs can be met. 30/06/2010 2 7 15 The registered manager is 26/10/2010 required to ensure that all areas of identified need have a care plan in place. This care plan must be reviewed regularly and all changes documented as they occur. This is required to ensure that the person recieves the care they need. 3 9 13 Hand written entries to the 01/07/2008 MAR sheets should be witnessed by two signatories. 4 35 17 The registered person must ensure that records of all transactions are accurately maintained and receipts 14/07/2010 Care Homes for Older People Page 6 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 provided to both the person using the service and a copy maintained at the home. This is required so that there is a clear and sufficiently detailed audit trail of all management ofp ersonal monies. 5 35 17 The registered person must 14/07/2010 ensure that staff receive appropriate training to ensure they follow the homes policy for the management of personal monies. This will ensure that both people using the service and staff are safe. 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 3 14 The registered manager 29/09/2010 must ensure that all people planned to be admitted to the home are assessed by a suitably qualified and trained person. It is also required that as part of this assessment the input of associated health professionals is sought. This is required to ensure that the registered manager can ensure that the service can meet the persons needs prior to admission. 2 9 13 The management of the 29/09/2010 home must ensure that all prescribed medications are recorded and provide a clear audit trail of prescription, procurement and administration. This is required to ensure that there is a clear audit trail and reduce any risk of error in administration. Care Homes for Older People Page 8 of 10 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
