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: 1 0 1 1 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 11 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 11 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. A random inspection was undertaken at the home on the 22nd October 2009. This random visit was undertaken by two inspectors over four hours, between 21:00 and 01:00. There were 15 people living at the home and one of these people was in hospital. The home did not know that we would be visiting. The reason for this visit was to review the homes progress in meeting previous requirements. West Midlands Fire Service had told us about concerns they had found with fire safety and we reviewed staffing levels during the night. During this visit we looked at risk assessments for fire safety. We looked at one persons care plan in detail and partially looked at another. We spoke to three staff and the manager. Two of the owners briefly visited the home but did not stay for the duration of our visit. Due to the time of our visit we were only able to speak with one person who lives at the home. These are our findings: We looked at one persons file and saw that it had been reviewed since our last visit. There were some detailed plans in relation to personal hygiene, oral and foot care and nutrition. However, a plan for epilepsy did not give staff guidance about when they should give as required medication for epileptic seizures. We saw that some seizures were recorded in the daily records but had not been recorded on their seizure record. This would enable staff to monitor the condition easily. We looked at this persons medication record and found that medication had been administered for seizures but there was no protocol in place for staff to follow. The manager told us that the person should be given medication if a fit lasted for five minutes but on one occasion medication had been given after 45 seconds. Care plans must provide staff with details of when they should administer the medication. We observed one person to be lying down whilst they were having their feed via a tube into their stomach. Since the visit we have sought specialist advice. The recommendation is that when people are receiving their feed, it is best practice to ensure they are at a 45 degree angle and no less than 30 degrees. This will minimise the risk of complications from the feed. We saw a risk assessment on one persons file but this had another persons information recorded onto it. This meant it was not clear who the assessment was for and if it was a current reflection of the persons need. We looked at the fire risk assessment that had been completed. There were a number of recommendations that had been made by the company who completed the assessment. It was concerning that some of the recommendations had been signed or ticked as completed when they were not. For example one recommendation was for staff to attend
Care Homes for Adults (18-65 years) Page 4 of 11 fire drills. This was signed as being completed in July 2009. The manager could only show us that two fire drills had been completed, the last one in August 2009. There was no evidence that night staff had participated in a fire drill. We identified at our inspection in July 2009 that staff had not received fire drills and it is therefore disappointing that this has not been addressed. We spoke to staff about what they would do in the event of a fire, none of the staff told us about the phased evacuation procedure. Another example was a recommendation that any fire doors which did not fit correctly should be adjusted to enable them to close properly. This had been ticked as completed and the manager told us that the handy person had repaired the doors that day. It was of concern that when we went to the top floor of the home that two of the bedroom doors were not closing properly. We made an immediate requirement for the doors to be adjusted so that people would be protected in the event of a fire. Following this visit we held a meeting the next morning with the manager and the owners to discuss our ongoing concerns. The owners assured us that they would take action to address the concerns and we will continue to monitor the homes progress. There are requirements made at previous visits which have not been met. We have passed this information to the Regional Enforcement Team for consideration about further action. Two requirements and one immediate requirement were made as a result of this visit. Please note that statutory requirement number 2 was made following the visit on the 22nd October. Due to the visits being completed close together our computer system does not generate the requirements and therefore 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
Care Homes for Adults (18-65 years) Page 5 of 11 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 11 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 11 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 11 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 1 42 13 Bedroom doors must be adjusted so that they close fully. To safeguard people from harm. 11/11/2009 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 Staff must have protocols to 04/12/2009 follow so they know when to give as required medication. So that people receive medication as prescribed. 2 23 13 Systems must be in place to report allegations. To ensure that people are protected from harm. 04/12/2009 3 42 13 Staff must receive fire drill training. So they know how to protect people from harm. 30/11/2009 Care Homes for Adults (18-65 years) Page 9 of 11 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 19 People should be sitting up to a thirty degree angle when receiving PEG feeds. (Feeds through tubes in their stomach) Care Homes for Adults (18-65 years) Page 10 of 11 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 11 of 11 - 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!
