Random inspection report
Care homes for older people
Name: Address: Green Hill Station Road Crowhurst Nr Battle East Sussex TN33 9DB two star good service 26/10/2008 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: Deborah Calveley Date: 1 2 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Green Hill Station Road Crowhurst Nr Battle East Sussex TN33 9DB 01424830295 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) : Rooks (Care Homes) Ltd care home 30 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 30 The maximum number of service users to be accommodated is 30. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) Date of last inspection Brief description of the care home Green Hill is registered to provide care for up to 30 older people with a dementia type illness. The home is a large detached property situated in a semi-rural area close to the local railway station in the village of Crowhurst, near Battle in East Sussex. Due to the rural location access to community facilities are limited. Accommodation is on two floors and comprises twenty single and five double rooms, all of which have a wash hand basin. The home has four bathrooms and aids and adaptations have been installed
Care Homes for Older People Page 2 of 9 2 6 1 0 2 0 0 8 Brief description of the care home throughout the home to suit the needs of service users. These include assisted baths toilet riser seats and grab rails. Communal areas comprise a dining room and a large lounge separated into one large area and two smaller ones giving service users the opportunity to sit quietly, a further lounge is situated off the dining room. There is a large amount of refurbishing that is being undertaken by the new provider and there may be changes to the communal bathrooms and double rooms. There are attractive well maintained gardens to the front and rear of the property which are accessible via ramps. Care Homes for Older People Page 3 of 9 What we found:
The reason for this random inspection was in response to an anonymous complaint raising concerns in respect of the safe outcomes for people who use the service. On arrival to the home the inspectors introduced themselves and explained the reason for this unannounced visit to the care staff on duty. At the time of the visit there were 17 residents living in the home. The staff on duty consisted of two members of the care team. Mrs Rooks was in the building but not on duty and was able to take part in the visit. The inspection visit focused on the areas identified as a concern and included: Viewing the duty rota, training records, meal records, recruitment files, accident records and observing the practices in the home. There were insufficient staff on duty to meet the needs of the residents. The home was staffed by two carers on the afternoon shift, the cooking was also undertaken by the staff on duty which impacted on the safety and well being of the residents. From direct observation the two staff could not supervise and interact positively with the residents who live in the home. Four residents were walking around the communal areas with no clear direction or interaction. One resident who was unsteady on her feet was found wandering in the corridor and stated she had fallen. Another resident was in her bedroom on the first floor and was not seen or checked for the duration of the visit. Residents were nearly all dependent on staff for assistance with going to the toilet and eating/drinking. The rota evidenced that only one member of staff was on the waking night shift, Mrs Rooks said she was available to be called if required. These levels of staffing do not not enable the staff to ensure the health, safety and well being of the residents. This was acknowledged by Mrs Rooks and a further member of staff was brought in for the night shift. The home training records did not evidence that all staff were competent and trained to undertake their job and promote the health, safety and well being of the residents. The recruitment processes in the home were not thorough or robust enough to protect the residents. There was evidence in the records that staff were working in the home without the appropriate checks completed and were working unsupervised. The files were incomplete and there was data from other persons personal details in the wrong files. The accident records evidenced that the falls and incidents are appropriately recorded and the action taken in respect of monitoring their health following the accident. They were not however cross referenced with a risk assessment to prevent a re occurrence. The falls were not audited to establish if there was a pattern e.g the hour and when viewed on the site visit records did identify certain times of prevalence. The meal records had not been recorded consistently and therefore did not provide the evidence to confirm that residents are receiving a wholesome and nutritious diet. It was noted by talking to staff that residents have lunch at 12 midday and then supper at 16:00 hours, which means that there is a long period of time between supper and breakfast which is served from 08:00 hours with some residents still eating breakfast at 10:30 hours to 11:00 hours. Staff did say residents are offered a biscuit or a piece of cake at after 17:30 hrs. The weight records did evidence some altered weights but most of these
Care Homes for Older People Page 4 of 9 were found to have an action plan detailed. The bedrooms in the home were clean, but the communal areas were seen to be grubby especially the residents chairs and tables. Residents clothing was observed to be stained and the personal hygiene of some residents in respect of their hair and fingernails did not demonstrate promotion of the residents respect and dignity. 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 15 17 That the registered person 20/09/2009 ensures that there are records of the food provided for service users in sufficient detail to enable any person inspecting the record to determine whether the diet is satisfactory, in relation to nutrition and otherwise and of any special diets prepared for individual service users. That service users are assured a nutritious and varied diet. 2 26 12 That the registered person 20/09/2009 ensures that the home meets is stated purpose in respect of cleanliness. That the home is clean and hygienic and meets it stated purpose and aims and objectives. 3 27 18 That the registered person ensures that at all times there are suitably qualified, competent and experianced persons are working at the 20/09/2009 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 care home in such numbers as are appropriate for the health and welfare of service users. That service users needs are met by the numbers and skill mix of staff. 4 29 19 That the registered person 20/09/2009 operates a thorough recruitment process ensuring the protection of the service users. That service users are protected by the homes recruitment policy and practices. 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!
