Random inspection report
Care homes for older people
Name: Address: Little Holland Hall Nursing Home Frinton Road Holland On Sea Essex CO15 5SS two star good service 21/04/2009 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: Derek Brown Date: 2 7 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Little Holland Hall Nursing Home Frinton Road Holland On Sea Essex CO15 5SS 01255813402 01255813962 manager.littlehollandhall@careuk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ellerash Limited care home 41 Number of places (if applicable): Under 65 Over 65 3 41 0 old age, not falling within any other category physical disability terminally ill Conditions of registration: 0 41 3 Persons of either sex aged 40 years and over, who require nursing care by reason of a physical disability (not to exceed 8 persons) Persons of either sex, aged 55 years and over, who require general palliative care (not to exceed 3 persons) Persons of either sex, aged 60 years and over, who require nursing care by reason of a physical disability (not to exceed 41 persons) Persons of either sex, aged 65 years and over, only falling within the category of old age (not to exceed 3 persons) Persons of either sex, aged 65 years and over, who require nursing care by reason of a physical disability (not to exceed 41 persons) Care Homes for Older People Page 2 of 8 The total number of service users accommodated must not exceed 41 persons Date of last inspection Brief description of the care home Little Holland Hall is situated in Holland on Sea, North Essex. It is part of a larger complex that includes sheltered housing; warden controlled flats; and privately owned homes for older people. Near to the nursing home, on the same site, there is a two storey listed building. Ellerash Ltd, which is part of the Care UK group, owns the Little Holland Hall complex. Care UK is a national care organisation. This nursing home has 41 single rooms divided between two floors. All of the rooms have en suite facilities. The home offers nursing care for up to 41 older people. Within this number, three beds are also registered for residents with palliative care needs. The home is not registered for dementia care. Current resident fees range between 442.54 pounds and 725.00 pounds, per week. 1 7 0 6 2 0 0 9 Care Homes for Older People Page 3 of 8 What we found:
The reason for this inspection was to assess progress towards meeting the requirements made following the random inspection on 17th June 2009. We made a requirement that where medical oxygen is prescribed, there must be records kept of its prescription and administration; and include the flow rate and length of use. We looked at the records of oxygen administration on the medication record forms and also care plan documentation. We found that for the 5 people currently using oxygen, 4 of the records showed the flow rate but none of them had a verified instruction from the prescriber of what rate to use. There was also no record of the duration of use when this was intermittent. So although there has been progress towards meeting the requirement by the given timescale of 31/07/2009, the requirement has not been met in full and has been given a new timescale for action. We also made a requirement that where medical gases were used and stored, there must be appropriate risk assessment and risk management procedures documented and in place. We looked at the care files for each of the 5 residents currently prescribed oxygen and found that all had an identical form listing the hazards and controls for oxygen usage but the relative risks for each person were not rated. We also looked at the rooms where medical oxygen is in use and 4 of the 5 room doors carried suitable hazard signs but one did not. The person resident in the room was using oxygen at the time. Again the requirement has not been met in full by the timescale of 31/07/209. Additionally, on arrival at the home, we found several racks containing blister packs of medication in the nurses office on the ground floor. The door to the room was open, the medication clearly visible from the corridor and the room was unattended for a period of at least 15 minutes. This is clearly a risk that medication could be accessible to unauthorised people and people it is not prescribed for. In such circumstances we would normally leave an immediate requirement notice, but it was resolved during the inspection. However, a further requirement has been made. What the care home does well: What they could do better:
Records of the prescription of oxygen, the flow-rate to use and records of its use must be maintained. The requirement has not been met in full and has been given a new timescale for action. Future failure to comply with the requirement may result in enforcement action. Where medical gases are stored and used, completed risk assessment and risk management procedures, including hazard warning signs, must be in place. The requirement has not been met in full and has been given a new timescale for action. Future failure to comply with the requirement may result in enforcement action. Medication must not be left unattended when not in use. A requirement has been made
Care Homes for Older People Page 4 of 8 about this. 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 Older People Page 5 of 8 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 Where medical oxygen is prescribed there must be records kept of its prescription and administration; and include the flow-rate and length of use. The will ensure that people are protected by receiving the treatment as prescribed by their doctor. Previous timescale of 31/07/2009 not fully met. 14/08/2009 2 9 13 Where medical gases are used and stored there must be appropriate risk assessment and risk management procedures documented and in place. This will protect people from harm. Previous timescale of 31/07/2009 not fully met. 14/08/2009 Care Homes for Older People Page 6 of 8 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 9 13 Medication must be locked away when not in use. This will prevent access by unauthorised people or people it is not prescribed for. 11/09/2009 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 Older People Page 7 of 8 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 Older People 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 Older People Page 8 of 8 - 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!
