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Inspection on 02/11/09 for Goldendale House

Also see our care home review for Goldendale House for more information

This inspection was carried out on 2nd November 2009.

CQC has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CQC judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The new Providers are making headway into implementing changes and improvements to the home. The details of these are outlined above and this should help to improve outcomes for the people who live in the care home.

What the care home could do better:

There is nothing currently identified for the service to do better as new Providers. However we have made two requirements - one for the provision of new suitable weighing scales and the other for the completion of the fly screens to kitchen windows. As highlighted, these requirements should have been addressed by the previous Provider.

Random inspection report Care homes for older people Name: Address: Goldendale House 45 Plex Street Stoke-On-Trent Staffs ST6 5JQ new service which has yet to be given a quality rating 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: Yvonne Allen Date: 0 2 1 1 2 0 0 9 Information about the care home Name of care home: Address: Goldendale House 45 Plex Street Stoke-On-Trent Staffs ST6 5JQ 01782861306 Telephone number: Fax number: Email address: Provider web address: goldendalehouse@aol.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Lorna Amber Jones Type of registration: Number of places registered: Conditions of registration: Category(ies) : Lovett Care Ltd care home 19 Number of places (if applicable): Under 65 Over 65 0 0 19 0 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability sensory impairment Conditions of registration: 5 0 0 0 0 The maximum number of service users who can be accommodated is: 19 The registered person may provide the following category of service only: Care Home Only Code PC 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 (OP) 19 Dementia (DE) 5 Care Homes for Older People Page 2 of 9 Date of last inspection Brief description of the care home Goldendale is a purpose built care home and can accommodate up to 19 older people. That number may include 5 people with dementia care needs. Goldendale is a detached property situated in a residential area close to Tunstall town centre. There is a small seating area to the front of the building and car parking area to the rear. The building is on 3 levels. On the lower ground floor there is a kitchen, laundry, offices and storage. Accommodation for people is on the ground and first floors. On the ground floor there are 8 single and one shared bedroom, and a large lounge/dining area with kitchenette, 2 bathrooms (1 is a walk-in shower), toilet areas and office accommodation. On the first floor there are two shared and four single bedrooms, a smoking area, assisted bathroom and additional toilet area. There are 13 single and 3 shared bedrooms, all except one having en-suite facilities. There are also adequate toilet facilities located near to the communal areas. Care Homes for Older People Page 3 of 9 What we found: The service has very recently been registered with new Providers. The Providers gave us a copy of their Improvement Plan for the home as the one we had requested from the previous Provider had not been carried out satisfactorily. The improvement plan from the previous Providers had not been sent to us within the timescale requested and, had the previous Providers still been present, we, the commission, would now be considering taking enforcement action against them for noncompliance. In their plan the new Providers tell us how they intend to improve outcomes for people who live at the home. They also tell us what action they have already taken to make improvements. The Providers have applied for registration of the newly appointed acting care manager. This person has completed NVQ levels 2 and 3 in care and will be commencing NVQ level 4. She is supported by an experienced care assistant who is trained to NVQ levels 2, 3 and 4 and who has previously been a manager in another care home. We were told by the new Providers that some of the staff who work at the home have been employed without a suitable Criminal Records Bureau (CRB) and Protection Of Vulnerable (POVA) check having been carried out. The Providers are taking action to address this and are developing a robust recruitment procedure. The new providers are also developing a staff training and development programme and will keep records and certificates. Some mandatory training has already taken place and the training plan includes dementia care training for care staff. The Providers have disposed of outdated medicine which they found in the home and have changed the pharmacist suppliers. They have also arranged for staff training in the administration of medication. Currently only staff who have received this training administer medication. The Providers have created a new Quality Assurance policy which will include obtaining the views of people who live in the care home. The Providers have held a meeting with staff to ensure that dignity is promoted for the people who live in the home. A meeting for the people who live in the home was arranged for November 4th. The Providers have also made a list of local churches, schools and social providers in order to engage people in local community activities. The Providers have reviewed and improved the assessment procedure. The complaints procedure has been reviewed and improved and this will be made available in peoples bedrooms along with the Service User Guide. Care Homes for Older People Page 4 of 9 The Providers have also commenced a programme of redecoration and refurbishment. We saw that several bedrooms are in the process of being redecorated and refurbished. We were shown one of the bedrooms which had been completed to a high standard. The previous provider had only partially completed the requirement for a fly screen to be applied to all opening windows within the kitchen. The new Providers now need to complete the work for this. A previous requirement for the provision of weighing scales so that people can be weighed in the home had only been partially met by the previous Provider. The sit on scales we were shown during the inspection visit were broken and we were told that these had been broken for some time. As a result of this people had not been weighed regularly. The new Providers propose to apply for a variation to their registration so that they will be able to care for more people with dementia care needs. We discussed this with them, including the need to ensure that all staff are up to date with their training needs, including dementia care, in the first instance. The new Providers are in the process of preparing for this. We noted that some staff have left and some new staff have stared working at the care home since the new Providers have taken over. Some of these new staff have already been trained in dementia care as well as other training such as NVQ 2 and 3. People we spoke with who live in the home they told us that they are happy with the care provided to them and there were no concerns raised with us at the time of the visit. We observed staff delivering care with dignity and respect and the people who live in the home appeared well cared for. 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 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 8 12 12(1)(a) The registered 25/01/2010 person shall ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users (people who live in the home) The registered person must provide suitable weighing scales so that people who live in the home can be weighed regularly. This will help to monitor peoples weight and ensure that their nutritional needs can be monitored and met. 2 26 16 16(2)(j) The registered person shall....after consultation with the environmental health authority, make suitable arrangements for maintaining satisfactory standards of hygiene in the care home. The registered person must ensure that all opening 25/01/2010 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 windows within the kitchen area are covered with a fly screen in oder to help prevent food contamination. 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. 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