This inspection was carried out on 29th January 2010.
CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Random inspection report
Care homes for older people
Name: Address: Guardian Care Centre Longton Road Trentham Stoke On Trent Staffordshire ST4 8FF one star adequate 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: Yvonne Allen Date: 2 9 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Guardian Care Centre Longton Road Trentham Stoke On Trent Staffordshire ST4 8FF 01782644800 01782644950 ms@guardiancare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Margaret Elizabeth Sexton Mr Robert William Stanway Type of registration: Number of places registered: Conditions of registration: Category(ies) : Nightingale Group Limited - The Guardian Care Centre care home 143 Number of places (if applicable): Under 65 Over 65 0 0 143 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 143 143 0 143 The maximum number of service users to be accommodated is 143. 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 Homes for Older People Page 2 of 8 care needs on admission to the home are within the following categories: Old age not falling within any other category (OP) 143 Dementia (DE) 143 Physical Disability (PD) 143 Mental disorder (MD) 143 Date of last inspection Brief description of the care home Guardian Care Centre comprises of three modern purpose built buildings, New House, Selwyn House and Mayfield Unit. It is situated in the suburban area of Trentham, Stoke on Trent and is within easy walking distance of local bus services and has good access to road networks. The home offers ample parking space and enjoys accessible gardens and its own protected private patio garden. Selwyn House is a modern purpose built two storey units providing nursing care for seventy-nine older people. Garden View first floor provides forty beds for elderly mentally ill persons aged 60 years and over. Garden Walk ground floor provides thirty-nine beds for frail elderly people also aged sixty years and over. The two floors are connected by a shaft lift. Accommodation is provided in mainly single rooms with 95percent having en-suite facilities. Both floors have their own dining room and communal areas and there are sufficient and appropriately adapted washing and bathing facilities. New House is a modern purpose built two-storey unit providing nursing care for up to forty-four people - young physically disabled adults over the age of eighteen years and younger people with learning disability. Court View first floor currently provides twenty-two beds for young adults with physical andor learning disability. Court Walk ground floor currently provides twenty-two beds for young physically disabled people and young physically disabled people with complex nursing care needs. The two floors are connected by a passenger lift. Accommodation is provided in mainly single rooms. All of the rooms have en-suite facilities. Both floors have their own dining room and communal areas and there are sufficient and appropriately adapted washing and bathing facilities. There is a central kitchen situated in Selwyn House and there are satellite kitchens to both floors in New House. Mayfield Unit is a new twenty-bedded unit. This is a modern, state of the art unit. Care Homes for Older People Page 3 of 8 What we found:
We carried out this unannounced inspection to confirm that the service had met with the legal requirements contained in the Key Inspection report of 13th October 2009. Prior to this inspection visit the service had sent us their improvement plan. This contains details of how they have met with the requirements and of how they are taking on board the good practice recommendations also contained in the inspection report. During this inspection visit we met with the prospective manager Mr Stanway. Mr Stanway has replaced the previous registered manager (Margaret Sexton) and has applied to us, the commission, to become registered manager of the service. We also spoke with other staff members including three nurses and two care assistants. We met some of the people who live in the home and spoke to a visitor. We looked at care plan documentation, staff rotas and other records relating to health and safety. At the end of the inspection visit we discussed our findings with Mr Stanway. What the care home does well:
We spoke with Mr Stanway and other staff members and visited Garden View unit. We also looked at staff off duty records and observed staff interaction and supervision of people who live on this unit. Staff on this unit care for people with varying degrees of dementia and mental health nursing needs and people are therefore very vulnerable and need to be kept safe. At the time of the inspection visit there were 31 people living on the unit with two nurses (a Registered General Nurse and a Registered Mental Nurse) on duty. There was also eight care staff on duty. This staffing ratio had improved considerably since we carried out the last Key Inspection. Also staff interaction with people who live in the home was observed to be good and people who live on this unit were being supervised and kept safe. We spoke with a visitor on Garden View unit who told us that he is satisfied with the overall care of his relative but commented that there could be more stimulation for people. The manager Mr Stanway explained that there is a programme of of entertainment and activities and that there is an activities person dedicated to this unit. This often includes one-to-one therapy. We also looked at care plan records and identified that improvements have been made in this area. There are now accurate manual handling risk assessments in place for each person. These risk assessments are updated regularly. We were also shown how the service monitors the number of falls people have. Each unit now completes a weekly record of any falls people sustain and this is audited by the manager. Action is then taken to address this and to lower the risk of falls. During our visit to the service we also observed the correct use of wheelchairs. The manager told us that staff had received instruction in the correct use of wheelchairs and
Care Homes for Older People Page 4 of 8 that there is a policy in place for this. All wheelchairs have footrests in place unless there is a risk assessment to say otherwise. The service has therefore met with all three requirements contained in the last Key Inspection report. 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 £ 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 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!
