Random inspection report
Care homes for older people
Name: Address: Frith House Steart Drive Burnham-on-sea Somerset TA8 1AA 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: Barbara Ludlow Date: 0 9 0 4 2 0 0 9 Information about the care home
Name of care home: Address: Frith House Steart Drive Burnham-on-sea Somerset TA8 1AA 01278782537 01278782537 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) : Somerset Care Limited care home 80 Number of places (if applicable): Under 65 Over 65 22 80 dementia old age, not falling within any other category Conditions of registration: 0 0 One named person under the age of 65 years within the registered number of 80 beds Up to three persons between the ages of 55 - 65 years within the registered numbers of 80 beds. Within the maximum registered numbers of 80, the home may accommodate up to 22 service users in the category of DE(E). Date of last inspection Brief description of the care home Frith House is situated in a quiet residential area of Burnham-on-Sea, near the sea front and town centre. It is registered with the Care Quality Commission (CQC) to provide care for 80 people over the age of 65 requiring personal care, including 22 persons with dementia care needs.
Care Homes for Older People Page 2 of 8 Brief description of the care home The home is not registered to provide nursing care. Somerset Care Ltd own Frith House; the Registered Manager is Mr Paul Cullis. The home is purpose built and has accommodation on two floors, accessed by a passenger lift. Each bedroom has an emergency call system and a vanity unit (in the older part of the building) - all rooms in the new part of the building have en-suite facilities. There is a separate unit, Petals within the home to accommodate up to 22 people who have dementia. The home has the capacity for 80 people. Frith House offers a respite care service within the registration and has a day care provision for up to ten people. Somerset Social Services has a contract for all the dementia care places to provide a Specialist Dementia Care (SRC) unit. Also contracted are 30 places in the main unit for older persons residential care, plus five Step up/ Step down beds which are used for short term rehabilitative care. There are lounges and sitting areas on both floors. There are dining areas on the ground floor and the first floor of the new part of the building. The home has a bar/ lounge where service users may smoke if they wish to do so. The home has a pay phone near the entrance foyer for residents to use. The homes fee range at the last key inspection was from 373.00 pounds to 550.00 pounds per week. Additional charges include; newspapers/magazines, hairdressing, mini-bus trips, holidays, chiropody, continence products, toiletries and transport for appointments. Care Homes for Older People Page 3 of 8 What we found:
This random inspection was made by two inspectors from the Care Quality Commission between 2:55 pm and 5:45pm. This was a short, very positive random inspection visit to Frith House. The purpose of this inspection was to monitor the quality of care delivery. The Commission has received regulatory notifications as required under the Care Standards Act. These recently informed us that there have been two instances where people have left the safety of Dementia Care Unit (SRC) known as Petals, to go out alone. This had been in spite of there being a key coded door exit system. We wanted to discuss this with the management of the home and judge their approach to the potential problem of this occurring again. The deputy manager was on duty and Mr Paul Cullis the registered home manager was available. There was a full care staff team on duty to care for the 73 people in residence. A tour of the communal areas of the dementia care unit, Petals, was made and of part of the general residential area. People living at the home were spoken with and were asked for their views on daily life at the home. The deputy manager and the manager answered queries and made records available for inspection purposes, confirming manual handling training for care staff. Information was shared with us regarding the people leaving Petals unsupported. We found the situation has been diligently dealt with in consultation with people living at the home and their relatives. Careful thought is being given to ensure that people living at the general residential address suffer from no restriction to their liberty from further locked entrances. One person spoken with told the inspectors that they enjoy living at the home and said they can come and go as they please. The management are taking an holistic look at security and have made the Petals unit safer already by restricting the sharing of the door code number to just the staff team. Staff spoken with were aware that they need to be extra vigilant and mindful of the people who would leave the unit if the door exit became accessible. No one living in Petals gave the impression that they wanted to leave and all appeared to be quite content and settled. A concern was raised anonymously with the commission about there being occasional poor manual handling practice and staff attitudes that were unprofessional. The inspectors asked staff they spoke with about their work and how they would deal with a situation where they saw less than good practice. Their responses impressed and it was clear that staff would not tolerate poor practice from colleagues. The registered manager, Mr Cullis explained the management strategy to clearly and positively support staff and maintain high standards of care at Frith House. Mr Cullis and the deputy manager remained at the home until the conclusion of the visit
Care Homes for Older People Page 4 of 8 to receive feedback. The inspectors would like to thank the people living at Frith House, Mr Cullis and his staff team for their hospitality and cooperation with the inspection process. 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 8 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 17 (1)(a) Schedule 3 (3)(n) The registered person shall ensure that the home promotes and makes proper provision for the health & welfare of service users: Care plans must clearly evidence any wound care management. This was required by: 24/09/07 24/11/2007 2 26 13(3) Blood sugar monitoring by 24/11/2007 care staff must be sharp safe. Guidance from the MHRA must be followed. To reduce the risk of needle stick injury to staff. This was required by: 24/09/07 Care Homes for Older People Page 6 of 8 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 7 of 8 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 8 of 8 - 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!
