Random inspection report
Care homes for older people
Name: Address: Hepworth House 1 St Georges Road Bedford Bedfordshire MK40 2LS 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: Nicky Hone Date: 2 8 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Hepworth House 1 St Georges Road Bedford Bedfordshire MK40 2LS 01234262139 01234272927 hepworthhouse@waitrose.com 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) : Mr and Mrs Hepworth Lloyd care home 18 Number of places (if applicable): Under 65 Over 65 18 18 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Hepworth House is situated in a pleasant residential area of Bedford. It is within easy walking distance of the town centre and close to local amenities such as local shops, schools, and Churches. The home is converted from two domestic style properties. There is a garden surrounding the home, which is laid to lawn and flower- beds. There is unrestricted road parking in the area for staff and visitors. The home has undergone many changes in the last few years and currently provides accommodation for 18 residents over the age of 65 years. 16 of the rooms are single rooms with ensuite facilities. There are two lounge/diners and a sunroom on the ground floor and a lounge on the first floor. Communal bathrooms and toilets are located on the ground and first floor. The fees for this home vary from £425.86 per week for residential
Care Homes for Older People Page 2 of 9 Brief description of the care home placements, to £455.00 per week. Care Homes for Older People Page 3 of 9 What we found:
Mrs Roy the manager was not available at the start of the inspection but came in when she was informed of our arrival. The owner Mrs Hepworth-Lloydd, who was working at the sister home across the road, also came to meet with us. We checked that the home had complied with 4 of the requirements we made at our key inspection on 10/08/09. We consider that the four requirements had been met. The manager, providers and staff team have worked hard to rectify the issues we found. What the care home does well:
We looked at the way medication is handled. Staff had completed the Medication Administration Record (MAR) charts carefully using the correct ommission codes when necessary. We also noted that medications were correctly recorded when they were received into the home. The MAR charts were stored in a medication file. The manager has developed a detailed profile for each of the people who lives here which includes a photograph of the person, details of their medications, their GP and any special instructions about their medication. We looked at one profile, for a person who takes medication to control diabetes, which detailed the need for staff to watch for signs of hypo or hyperglycaemia attacks and to make sure the persons blood sugar level is taken regularly. The same instruction was written in the persons care plan. We asked the manager how staff would know what to look for and she told us that, although they were working as carers, most of the staff had a nursing or medical qualification from their country of origin, and would know. After disussion she accepted that other staff might not have this background knowledge, which could lead to a change in condition not being noticed quickly enough. She agreed to put in further detail and guidelines. Controlled drugs are now correctly stored in the CD cupboard. The manager showed us that wound care is now detailed in the care plans when needed. Good infection control guidelines for MRSA were in one persons file. The manager showed us that all staff had received Safeguarding of Vulnerable Adults (SOVA) training or an update by 27/08/09. This training was provided to some of the team by Bedford Borough Council and to others by a training provider to ensure it was completed in the timescale given following the last inspection. The manager had also made sure an up to date SOVA policy was available. We spoke to the manager and the senior carer about how they would deal with a potential safeguarding issue. They were able to answer correctly and were clear about who should be informed. We looked at two staff files. One for the part-time activity co-ordinator who, at our last inspection, had not had any pre-employment checks, and one for a staff member on duty. Both had all had the required checks on the files. Following the recent inspection, the provider purchased and installed a small safe. The
Care Homes for Older People Page 4 of 9 manager showed us that any money and valuables belonging to people who live here is now kept in the safe. We also noted that a supply of dinner plates had been purchased, and visitors were no longer able to enter the home through the conservatory. 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 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 1 5 The service user guide must provide information on current fees for the home, and detail accurate information relating to The Care Quality Commission. Prospective residents must have access to all the required information within the service user guide. 14/09/2009 2 7 15 The registered person shall 14/09/2009 prepare a care plan that clearly identifies how the residents health and welfare needs should be met. This should include the individuals wishes in the event of illness or death. People who live in this home should have a care plan that clearly identifies all areas of care that need to be addressed by staff. 3 27 18 The registered person must 14/08/2009 ensure that all persons working in the home receive appropriate training and time off. The people who live in this home must be protected by safe working practices. Care Homes for Older People Page 6 of 9 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 4 31 8 The manager must keep her own knowledge and skills relating to core policies and procedures up to date. The people who live in this home be cared for by a manager whose knowledge relating to policies and safe working practices, is current and up to date. 31/08/2009 5 33 24 The registered person must supply a copy of the current quality assurance report to CQC People who live in this home must have access to a report that identifies how the quality of care is being kept under review. 30/09/2009 6 36 18 The registered person must ensure that all staff recieve regular supervision. . People who live in this home must be cared for by staff that are appropriately supervised. 28/12/2009 Care Homes for Older People Page 7 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 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!
