Random inspection report
Care homes for older people
Name: Address: Fountains Care Centre (The) 12 Theydon Gardens Rainham Essex RM13 7TU three star excellent 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: Sandra Parnell-Hopkinson Date: 1 7 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Fountains Care Centre (The) 12 Theydon Gardens Rainham Essex RM13 7TU 01708554456 01708529644 thefountains@schealthcare.co.uk www.schealthcare.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 (LSC) Ltd care home 62 Number of places (if applicable): Under 65 Over 65 0 62 0 dementia old age, not falling within any other category physical disability Conditions of registration: 62 0 62 The maximum number of service users who can be accommodated is: 62 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 Dementia - Code DE Physical disability Code PD Date of last inspection Brief description of the care home The home is situated off the Rainham Road within the London Borough of Havering. There is a garden area to the rear of the home and car parking to the front of the home. The home provides 62 single ensuite bedrooms set out over 3 floors. Each floor
Care Homes for Older People Page 2 of 9 Brief description of the care home is independent of each other and each has its? own dining room and lounges. The home is registered as a care home providing nursing, to care for people over the age of 55 years who may have dementia, a physical disability due to a stroke, Parkinsons or other such illness, and those people who are over the age of 65 years who are frail due to age. The statement of purpose and the last inspection report were available in the reception area of the home, and a copy of the statement of purpose will be provided on request. At the time of the inspection the fees ranged from #590 - #750 per week, with additional fees for hairdressing and chiropody. Care Homes for Older People Page 3 of 9 What we found:
We carried out an unannounced random inspection following concerns received by us regarding staff relationships with each other and the possible negative impact this could have on residents and visitors. Other concerns involved the laundry services provided by the care home. We spoke to some residents, many of the staff, the registered manager, the head of housekeeping, the area manager and the local authority in whose area the home is situated. We found that there were issues around the laundry service provided by the home and that there were also relationship issues between staff. Some staff have undertaken training in equality and diversity but there were some staff who told us that they had not received training in this area. It was also evident that some shift leaders had not undertaken training in leadership and dealing with confrontation. Some residents told us that they do sometimes notice disagreements between staff members. What the care home does well: What they could do better:
In discussions with staff it was apparent that there are relationship problems between staff of, for example, different cultures, ethnic minorities or religions. Some staff to whom we spoke told us that they had received training in equality and diversity issues, but there were staff who have not received such training. It is essential that all staff undertake training in equality and diversity issues, and that such training is put into practice, not only in connection with the needs of residents but also in staff relationships. Controversy between staff does impact negatively on the care of residents. All staff employed in a care home must recognise that they are working in the home of vulnerable people, and that it is the needs of the residents which are of prime importance.
Care Homes for Older People Page 4 of 9 It is also essential in the running of a care home that the management is robust in all areas. All staff involved in the management aspects should be trained in leadership, supervision and dealing with confrontation. This should ensure that training undertaken by care staff is being implemented in practice, and that the policies and procedures of the home and the organisation are being followed in all aspects. 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 30 18 The registered person shall 30/10/2009 ensure that the persons employed to work at the care home receive training appropriate to the work they are to perform. All staff to undertake training in equality and diversity issues to ensure that there are good relationships between staff so that this has a positive impact on the care of residents. leadership, supervision and dealing with confrontation to ensure that training undertaken by care and other staff is put into practice for the benefit of vulnerable people. 2 30 18 The registered person shall ensure that the management/shift leaders receive training appropriate to the work that they are to perform. All shift leaders to receive training in leadership, supervision and dealing with 30/10/2009 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 confrontation to ensure that training undertaken by care and other staff are put into practice for the benefit of vulnerable 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 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!
