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 07/07/2009 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: 2 2 1 0 2 0 0 9 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 10 0 7 0 7 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 10 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. The last key inspection of this service was completed on the 7th July 2009. This random visit was undertaken by two inspectors over one day. There were 16 people living at the home and the home did not know that we would be visiting. The reason for this visit was to review the homes progress in meeting the requirements made at the last key inspection. Since that visit in July, West Midlands Fire Service had told us about concerns they had found with fire safety at the home. During this visit we looked at risk assessments for fire safety and complaints records. We looked at one persons care plan in detail and partially looked at one other. We spoke to four staff, the manager and one person who lives at the home. As some people are unable to communicate their views, we spent some time in communal areas observing care practices and staff interactions. These are our findings: We looked at one persons file in detail and one file was partially reviewed. We found that care plans did not reflect peoples current needs. For example one persons plan said encourage the use of a Zimmer frame for support. We observed this person did not use a Zimmer frame and all of the staff we spoke to confirmed this. This person was assessed at being at high risk of falls and the plan stated ensure wears correctly fitting shoes. We observed this person to be wearing trainers that had the backs trodden down and this may pose a potential risk of falls. One person had a risk assessment for verbal aggression that may lead to physical abuse. The assessment said to divert attention to a specific topic but it did not say what these topics for conversation might be. One person had a risk assessment for the fitting and appropriate use of bed rails but this had not been reviewed since August 2008 to ensure that it was still relevant for that person. Staff told us that some people tried to leave the building and that the door and back gate had a lock on to prevent them leaving. Whilst this may be an appropriate restriction, risk assessments did not provide details of why the people were prevented from leaving the home. There were no care plans to guide staff about what they should do if the people tried to leave the home. In September 2009 we received an improvement plan from the manager following the visit in July. This plan told us that All the care plans have been reviewed and updated. Whilst there was evidence that the plans had been reviewed, they still did not reflect all of the people needs and provide staff with sufficient information. We observed that one person was sitting in the lounge and their catheter bag was visible
Care Homes for Adults (18-65 years) Page 4 of 10 to other people. The bag was a large night bag, which had been placed on a stand that was not fit for purpose, as it was bent over and rusty. This meant that the bag was leaning on the floor posing a potential risk of infection, in addition to the persons dignity not being maintained. Concerns had been raised at our last visit about peoples dignity not being maintained and this was discussed again with the manager. We looked at the complaints records and saw that someone who lived at the home had made an allegation against a member of staff. It was of concern that the home had completed an internal investigation and did not inform social workers of this allegation. Any allegation must be referred to Adults and Communities who take the lead in looking at who should investigate potential safeguarding concerns. This was discussed with the manager on the day of the visit. The manager told us that following the fire service visit a risk assessment was in place. We looked at the risk assessment which did not provide details of how staff should move individual people in the event of a fire. There was no mention that the back gate had a padlock and where the key was. The assessment stated that there are four staff on duty at night when there are actually three. The manager confirmed that he had not reviewed the risk assessment which had been written by another member of staff. We told the fire service about the lack of detail which the assessment provided. We still have concerns in relation to care planning and risk assessments for individuals and the home in general. There were requirements made at the last visit which have not been met. We have passed this information to the Regional Enforcement Team for consideration about further action. We will continue to monitor the homes progress. What the care home does well: What they could do better:
This is a random inspection and therefore not all the core standards were assessed. Care plans must be reflective of current care needs so that staff know how to assist people to meet their needs. Individual risk assessments must provide details about risks and how they can be minimised, whilst enabling people to stay independent. Care Homes for Adults (18-65 years) Page 5 of 10 Any allegations of abuse must be reported to the appropriate authorities, before they are investigated, so that people are protected from harm. Arrangements for fire safety in the home must be reviewed so that staff know what to do if there was a fire. Risk assessments for fire safety must provide staff with guidance about what they should do. 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 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 9 13 Risk assessments must be reviewed. To ensure that they are current and give guidance about how to manage potential risks. 14/08/2009 2 14 16 Arrangements for activities must be reviewed. So that people are stimulated and their needs are met. 01/09/2009 3 17 16 People must be offered a 21/08/2009 diet, that meets their needs. So that personal preferences, health and religious needs are met. 4 18 12 People should be suppported 28/08/2009 to meet their needs. So that their dignity is maintained. 5 19 12 Care plans must provide information that is current. So that health care needs can be monitored and staff have guidance to follow. 28/08/2009 6 32 18 Staff must have the skills and knowledge. 18/09/2009 Care Homes for Adults (18-65 years) Page 7 of 10 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 To meet peoples individual needs. 7 39 26 Arrangements must be in place so that the provider visits the home and writes a report about the conduct. To ensure that peoples views are listened to and acted upon. 31/08/2009 Care Homes for Adults (18-65 years) Page 8 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 23 13 Systems must be in place to report allegations. To ensure that people are protected from harm. 04/12/2009 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 Adults (18-65 years) 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 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. 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 Adults (18-65 years) 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!
