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 02/06/2010 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: 0 4 0 8 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 karistosnh@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 Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 17 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
Care Homes for Adults (18-65 years) Page 2 of 9 0 2 0 6 2 0 1 0 Brief description of the care home walking distance of shops and bus routes. There is one car parking space at the home, other cars would need to be parked on the road at the front of the building. 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 £500 - £800 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. We last visited the home on a random unannounced visit on the 26th July 2010. This random visit was undertaken by two inspectors over three and a half hours. There were 13 people living at the home. The home did not know that we would be visiting. The reason for this visit was to review the number of staff working at the home and the staffing rotas. This was following concerns being raised with us that a number of the nursing staff had cancelled their shifts or had left employment. During this visit we looked at the staffing rotas and the recruitment files of four members of staff. We spoke to the manager, two members of staff and one person who lives at the home. We also looked at maintenance records for the passenger lift and spoke with the lift engineer. These are our findings: We found that that there were various versions of the staffing rotas and it was not easy to follow which rota had actually been worked. We were able to confirm that a qualified nurse was always on duty and that where shifts had been cancelled, other staff had covered the shift. It was of concern that on one day the rotas showed that an agency nurse had worked the whole day but we could not find any documentation about which agency the nurse had come from or what checks had been completed prior to the person working at the home. We looked at four staff files. One newly appointed bank member of staff had two references on file, but neither of these were from the most recent employer. One of the references did not state in what capacity the person was known. There were two interview checklist sheets both which were in different writing and were not signed, so it was not clear who had undertaken the interview process. Two other files also contained only one reference and this does not ensure that appropriate checks are completed to ensure that suitable people are employed to work with vulnerable adults. This means that previous requirements relating to recruitment practice have not been met. Some of the staff working at the home had work visas that had expired, there was no evidence on the files that applications had been made to extend these. One persons visa had expired in November 2009. The manager told us that the person is reapplying however confirmed that he had not seen a copy of the application. We saw records that the lift had been out of action over one night until new parts were fitted the following day. The lift was fixed temporarily to enable the people who live at the home to get to their bedrooms. We had not been told that the lift was not working. We went in the lift and found that it was very noisy. There were numerous reports from two
Care Homes for Adults (18-65 years) Page 4 of 9 different lift engineer companies which gave various recommendations for work to be completed. We spoke to the lift engineer who came to the home and he told us that they would be completing some work on the sensors the following week, however the lift was safe to use. We saw that a new battery had been received after our last visit to the home for the weighing scales. The manager had found after our last visit that these were not working and the one person who needed this equipment was unable to be weighed. Prior to our visit we had received a regulation 37 notification from the home. (This is a report that the home must send us when something happens in the home that may affect peoples health and welfare). We were told that one person had gone out of the home unassisted and was brought back by the police. We looked at the daily records and the accident report and we could not determine how long the person had been out of the home. It did not appear that staff had realised the person was not there. The home had not informed the persons social worker so that they were aware of the incident. We are considering what further action to take in order to bring about improvements in the home for the people who live there. We will continue to monitor the homes progress. One requirement and one recommendation was made as a result of this visit. Please note that statutory requirement number one was made at the last visit to the home on the 26th July 2010. Due to the visits being completed close together our computer system does not generate the requirements and therefore it has been added manually so that the complete list of requirements is shown. 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 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 6 14 Care plans must be updated 07/07/2010 when peoples needs change. So that staff know how to support people. 2 9 13 Risk assessments must contain enough information about how to minimise the risks. So that risks are minimised and people are safe. 07/07/2010 3 16 12 Staff must interact with people who live at the home including people who are unable to verbally communicate. So that people lead an interesting and stimulating lifestyle. 05/07/2010 4 19 12 Ensure that systems are in place. To promote and make proper provision for the health and welfare of service users. 25/06/2010 5 19 12 Make arrangements to 25/06/2010 ensure that staff comply with peoples identified healthcare needs. So that peoples needs are Care Homes for Adults (18-65 years) 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 met and people are safe. 6 23 13 Staff must have the 07/07/2010 competence to recognise and respond to potential safeguarding concerns. To protect people from harm. 7 32 18 Staff must have the knowledge and skills to interact with people and know their needs. So that peoples needs are met in a way they prefer that is meaningful. 8 34 19 Robust recruitment systems must in place. To ensure that people are safe from harm. 9 39 12 Systems must be in place to 30/07/2010 identify areas of concern and action taken in a proactive way. To ensure that the home is run in the best interests of the people who live there. 28/07/2010 07/07/2010 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 1 20 13 Ointments must be administered only for the prescribed amount of time. To ensure that people receive their medications as prescribed by their doctor. (Previous requirement) 31/08/2010 2 42 37 Appropriate authorities must 03/09/2010 be informed of any incidents that may affect peoples health and welfare. So that people are safe from harm. 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 33 Staff rotas should be reviewed so that they are clear and easy to follow. 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!
