Random inspection report
Care homes for adults (18-65 years)
Name: Address: Karistos 29 Chantry Road Moseley Birmingham West Midlands B13 8DL zero star poor service 10/12/2009 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: Lisa Evitts Date: 1 7 0 3 2 0 1 0 Information about the care home
Name of care home: Address: Karistos 29 Chantry Road Moseley Birmingham West Midlands B13 8DL 01214424794 01214424794 karistosnursinghome@yahoo.co.uk www.karistos.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Gursharn Singh Surdhar,Mr Surjit Singh Surdhar,Dr Harminderjeet Singh Surdhar care home 17 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 17 The maximum number of service users who can be accommodated is: 17 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 needs on admission to the home are within the following categories: Physical disability (PD) 17 Date of last inspection Brief description of the care home Karistos Nursing Home has 17 beds and is registered to provide care to younger adults for reason of physical disability. The home is situated in Moseley and is within short walking distance of shops and bus routes. There are no parking facilities at the home and cars would need to be parked on the main road at the front of the building.
Care Homes for Adults (18-65 years) Page 2 of 9 1 0 1 2 2 0 0 9 Brief description of the care home It is a large three storey converted house and bedrooms are available on all floors. A passenger lift provides access to all floors of the building. There is a lounge and separate dining room. The accommodation consists of four shared bedrooms; nine single bedrooms and two have en-suite shower facilities. Wheelchair access and a platform lift have been provided to the front of the building, as the steps are rather steep. There is a garden to the rear of the home with a small patio area, which is accessible via the dining room. However, the incline to the garden makes it difficult for people to use it. Corridors in the home are narrow and do not provide easy access for people who may require assistance with their mobility. There is a shower room and assisted bathing facility to meet the needs of the people living in the home. The home has three hoists to assist people with mobility problems and has specialist mattresses to help prevent peoples skin from becoming sore. Information is available about the services and facilities on entering the home and this includes a copy of the most recent inspection report, for anyone who may wish to read this information. Current fee rates range from £400 - £600 per week and this information is provided in the service user guide. These fees are reviewed annually. Additional costs include newspapers, hairdressing, clothing and personal effects, chiropody, dentist and optician. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The focus of this inspection undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. In October 2009 Adults and Communities had placed a suspension on the beds at the home, which meant that they would not pay for anyone else to live there. This was due to a number of previous concerns. This suspension was lifted on the 1st March 2010 and the home can now accept new people to live at the home. This random visit to the home was undertaken by two inspectors over four hours. There were 13 people living at the home and two people were in hospital. The home did not know that we would be visiting that day. The reason for this visit was to review the homes progress in meeting the requirements made at the key inspection in December 2009. We partly looked at two peoples care files and information about nutritional needs. We spoke to two relatives, two people who live at the home and three staff. We observed the lunchtime meal and sampled maintenance records, risk assessments, complaints records and the training matrix. These are our findings: One of the files we looked at gave good details for staff to follow to ensure they knew how to assist people with their nutritional needs. The persons weight was monitored monthly so that any changes could be acted upon. Food records were also kept and showed what the person had eaten and how much so that staff could monitor their dietary intake. The second file contained some good details, however a risk of choking had been identified as the person had swallowing difficulties. A risk assessment had been written but the measures in place were all reactive and stated what to do if the person was choking. There were no proactive measures recorded to try and minimise the risk of this happening. Staff had weighed the person monthly so that they could monitor any changes. A GP had visited and the dietician had recently been out to review the person and had made a number of recommendations for the persons dietary intake. Records clearly showed that over the last year this persons needs had changed and they now needed to have pureed meals. A nutritional risk assessment that had been completed did not reflect all of the other information available about this persons nutritional need. We discussed this with the manager on the day of the visit and recommended that a Speech And Language Therapist review would be beneficial to ensure that they receive specialist advice about this persons swallowing. We observed the lunch and saw that the meals were well presented. Pureed meals were in individual portions so that people could experience the different tastes in the food.
Care Homes for Adults (18-65 years) Page 4 of 9 Staff assisted people to eat in a dignified way and encouraged them to eat their meals, giving them time to swallow food before offering more. They offered gravy with the meals and sat down to feed people who needed this help. We looked at the risk assessments for six people who live at the home for the use of bed rails. These had all been reviewed to ensure that people were still safe to use this equipment. A weekly bed rail check chart had been implemented but this did not give any guidance about what people should be checking for and this should be developed further. At our last visit to the home we found that there were no checks on peoples wheelchairs to ensure that they were safe to use and in full working order. A weekly check had been implemented however it was concerning that these checks stated the chairs were in good working order and no action was required. An external company had been brought into the home to service each wheelchair and a number of them had required attention and repairs. This had not been identified and the person completing these checks should have the knowledge and skills to complete this task competently to ensure that they know what they are looking for to keep people safe. The home had not received any complaints since our last visit in December 2009. We spoke to a person who had raised some concerns with us when we last visited. They told us that things are much better now and that they had seen a big improvement with the food. This means that people can be confident that they are listened to and their concerns are acted upon. The home had reviewed their policies to ensure that staff had guidance about what to do in the event of an allegation being made to keep people safe. Further training in safeguarding had been booked and this will involve an eight week distance learning package for staff to work through. Since our last visit, all staff have watched a DVD about dignity in care homes. This should improve staffs knowledge about how to meet peoples needs in a dignified way. Some staff had received training in managing aggression, care planning and assessment of needs. Staff spoken to were able to demonstrate a good knowledge about what they would do in the event of an allegation being made to ensure that people are protected from harm. At our previous visit we made a requirement as the lift call button was not working, this meant that people could not call for help if they were in the lift. We required that this was to be in full working order by the 11th January 2010. On the day of our visit this had been repaired and was in working order however the records showed that this work had not been completed until the 12th February 2010. The home must meet requirements in a timely manner as this could have resulted in enforcement action being taken. People told us: Im very happy with the home They come quickly, if I want something I have it Staff are friendly and welcoming and they know his needs We are really pleased with his care
Care Homes for Adults (18-65 years) Page 5 of 9 They always tell me if he is poorly or aggitated No requirements were made as a result of this visit. The home now needs to demonstrate that it can sustain the improvements made whilst being proactive and identifying where they could further improve. We will continue to monitor the homes progress through our regulatory processes. 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 Adults (18-65 years) Page 6 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 Adults (18-65 years) 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 1 9 Further guidance about the specific checks which are to be completed on the safe fitting of bed rails should be included with the risk assessments. Nutritional risk assessments should contain current information so that potential risks can be minimised. Requirements should be met within the timescale to ensure that the home is run in the best interests of the people who live there. People should have the knowledge and skills to competently check that equipment is safe and in full working order. 2 3 18 37 4 42 Care Homes for Adults (18-65 years) 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 Adults (18-65 years) 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 Adults (18-65 years) 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!
