Random inspection report
Care homes for older people
Name: Address: Hadrian Park Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF 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: Andrea Goodall Date: 2 5 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Hadrian Park Marsh House Avenue Billingham Stockton-on-Tees TS23 3DF 01642566322 01642566744 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Lois Kate Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross OPCO Ltd care home 73 Number of places (if applicable): Under 65 Over 65 24 49 dementia old age, not falling within any other category Conditions of registration: 0 0 The maximum number of service users who can be accommodated is: 73 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: Dementia, over 65 years of age - Code DE(E), maximum number of places: 24 Old age, not falling within any other category - Code OP, maximum number of places: 49 Date of last inspection 0 3 0 6 2 0 1 0 Care Homes for Older People Page 2 of 10 Brief description of the care home Hadrian Park is a purpose-built home opened in 2004. There are 73 beds available, 24 of which are specifically for those suffering from dementia. The dementia unit is separate to the rest of the home, and is built around a courtyard, therefore enabling those who live at the home access to a secure, outdoor space, which has been landscaped. This unit is on the ground floor. The remainder of the home has both ground floor and first floor rooms, which are reached by a lift. All rooms are for single occupancy, and all have en-suite facilities consisting of a toilet and wash hand basin. Residents are able to personalise their rooms, according to preference and taste. Care Homes for Older People Page 3 of 10 What we found:
This random inspection was carried out over 6 hours on 19th & 25th August 2010. The first inspection visit was carried out by two Compliance Inspectors. The reason for this inspection was to check whether the provider had complied with the timescales for requirements made in a Warning Letter that we sent on 7th July 2010. The Warning Letter told the provider about its failure to meet the regulations that applied to eight requirements. During this inspection visit we looked at care records, staff records, training records, accident records, quality assurance reviews and provider visit records. We spoke with an Operations Manager for the organisation and with the registered manager of Hadrian Park home. We looked at the care files for seven people who live here. Care plans are records that are used by all care services to show how each person needs support with their individual needs, for example mobility, personal hygiene, and nutrition. We looked to see if care plans accurately reflected the individual needs of the people who live here, and whether those care records are kept up to date. One care file was for a person who had been admitted to Hadrian Park from hospital for short-term care the week before this visit. The dependency assessment for this person showed that they had a catheter in place, but there were no care plans for this person so there was no care plan about their catheter care for staff to follow. One person had a care plan about risk of falls. The care plan had not been reviewed in three months. In a different part of the care file there was a record of a recent visit by a Physiotherapist from the Falls Clinic, who carried out a falls assessment. In the assessment report, the Physiotherapist recommended planned interventions by staff of Hadrian Park to support this person with their risk of falls. However the care plan had not been updated to show that this visit took place or to include the additional advice. In this way the care plan does not guide staff to carry out the recommended support for this person. One care plan about a persons diet had not been updated for three months but weight records showed that the person had lost a significant amount of weight (9lbs) in two months. Another person had a care plan about aggression displayed. It was clear from current daily records that this person has frequently displayed aggressive behaviour towards staff. However the care plan did not fully guide staff in what triggered the persons aggression, and this care plan had not been reviewed for three months. This shows that the home continues to fail to meet the regulations about care plans, so CQC is taking further action about this. We looked at accidents records as previously these had not been fully completed and accidents had not been investigated or followed up. During this visit we found evidence that accident reports are now fully completed. We saw that accidents are followed up, investigated and that the reports are signed off by the manager. Care Homes for Older People Page 4 of 10 We looked at staff training records. We saw clear evidence from induction training records that new staff complete a three-day induction period with a senior staff. It was also clear that there has been recent improvements in the number of staff with training in health & safety, fire safety, Safeguarding Vulnerable Adults, and the Mental Capacity Act. There was evidence that arrangements for further training are also in place over the next month, but this has not yet taken place. This training includes mandatory areas such as moving & assisting, First Aid, and food hygiene. We will ask the provider for confirmation that this training has taken place. Within the Hadrian Park home there is a dementia care unit called The Chesters which has 24 places for people who have dementia-type needs. There are currently 11 care staff who work in this unit, however only three of these staff has had any prior training in dementia awareness. Also only one staff has any training in managing challenging behaviour. One of the senior staff has had no training in dementia care or challenging behaviour. In this way the home does not demonstrate that its dementia care unit is equipped with staff who are skilled in this area of care. We looked at records about staff supervision as previously there were many gaps where staff had not received supervision from their line manager. The manager has now introduced a supervision matrix which shows when a staff has had a supervision session with their line manager, and when their next supervision is due (within two months). In this way the home has improved the frequency and management of supervisions, so that the home aims to provide at least six supervision sessions a year for each staff member. We looked at the records about recruitment and selection as previously some staff had been employed without the necessary checks. It was evident from the personnel files of the two newest members of staff that the home now carries out robust recruitment checks including CRB (criminal records disclosure), two suitable references and interview monitoring records. In this way the home now demonstrates that it is making sure potential new staff are suitable to work in a care service for vulnerable people. We looked at how the organisation reviews the quality of the care that it provides in Hadrian Park care home, particularly in relation to the views of the people who live here and/or their relatives. Previously residents and relatives surveys were sent back to the organisational HQ but the home did not receive any further information about the results. However, the manager stated that this years surveys have been received by the home. The manager now plans to collate that information and produce a report summarising residents views which will be displayed within the home. We looked at records of the monthly visits to the home that are carried out by representatives of the provider (called regulation 26 reports). These records were up to date and showed actions and timescales for improvements to be completed. What the care home does well:
Hadrian Park continues to provides a comfortable, light, clean and relaxed environment for the people who live here. There have been some improvements to the way that the home is carried on since the previous random inspection report and Warning Letter were sent to the provider. Care Homes for Older People Page 5 of 10 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 6 of 10 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 15 Where a need is identified a care plan must be in place. This will ensure peoples needs are being met. 28/07/2010 Care Homes for Older People Page 7 of 10 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 Arrangements for staff to 15/10/2010 receive mandatory training in health & safety matters, including moving & assisting and first aid must continue. This is to ensure that all staff are trained in safe working practices. 2 30 18 Staff who work in the dementia care unit must be provided with suitable training in dementia care needs and in managing challenging behaviour. This is to ensure that staff are equipped to support people in the right way with their specific dementia-type care needs. 01/12/2010 Care Homes for Older People Page 8 of 10 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 9 of 10 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
