Inspection on 10/12/09 for Karistos
Also see our care home review for Karistos for more information
This inspection was carried out on 10th December 2009.
CQC found this care home to be providing an Poor service.
The inspector found no outstanding requirements from the previous inspection report, but made 4 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
Before people move into the home their needs are assessed to ensure that they can be met. One person said "The manager and a carer came to see me at the hospital and brought me a brochure". People have access to a range of healthcare professionals to ensure that all their health care needs are met. One person said "Staff get the doctor out to me if I need it, there are no problems there". Medication is well managed and people receive medication as prescribed. The home has an open visiting policy so that people can see their visitors as they choose and can continue to maintain relationships that are important to them. A relative who was visiting told us "We are happy with the care and everything is ok". People can personalise their own rooms to reflect preferences and tastes so that they live in a comfortable environment.
What has improved since the last inspection?
The home has responded to our concerns and has acted upon the requirements made at previous inspections to ensure the way the home is run is improved. The range of activities has increased so people have more choice about what they can participate in. A number of games and a karaoke machine had been brought for people to be involved with if they chose to. Some people are supported to go out of the home with staff and one person said "I`ve been out shopping a couple of times and I enjoy it". Care plans have been reviewed to ensure that staff have current information about peoples needs. This means that people will be supported in a consistent way. During our observation we saw that staff interacted more with the people who live at the home. This means that people should have a more interesting lifestyle. The atmosphere in the home was more friendly and relaxed and was decorated for the festive season. The assisted bath had been repaired and the bathroom had almost finished being re tiled and decorated to enhance the environment. The home has addressed the majority of concerns highlighted by the fire service. Staff have received fire training and drills to ensure that they know how to safeguard people from harm.
What the care home could do better:
We have found that the home responds well when they are told they need to put something right but this response is reactive. The home must now demonstrate that it can be proactive in identifying concerns and act upon them in the best interests of the people who live there. Some work has been undertaken in a number of areas such as care records, activities, meals and staff interaction, however these could all be further developed. The home had reviewed the menu and choices of food offered to people, however this needs further work to ensure that everyone at the home receive food that they like. One person told us "Often we get the same food all the time, it`s too curryfied for me, I like basic meals". Activities should be reviewed for people who are not able to verbally communicate as they are currently very limited. Care records should show the outcomes of visits to hospital appointments so that staff can continue to monitor people`s needs. Complaints must be recorded and people need to know that they are listened to and their complaints acted upon. Staff should have further training about how to recognise potential abuse and how to report allegations to the relevant authorities. This is to ensure that people are safe in the home. Arrangements must be made to ensure that bed rails and wheelchairs are checked for safety. Staff must have guidance about how this should be done. The owners need to ensure that the passenger lift is in full and safe working order. The home needs to sustain the improvements made while also continuing to improve the quality of the service in the best interests of the people who live there.