Random inspection report
Care homes for older people
Name: Address: Littledene House 54 Bushey Grove Road Bushey Hertfordshire WD23 2JJ zero star poor service 17/11/2008 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: Patricia House Date: 2 8 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Littledene House 54 Bushey Grove Road Bushey Hertfordshire WD23 2JJ 01923245864 Telephone number: Fax number: Email address: Provider web address: m.ang@btopenworld.com Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Margaret Ang care home 12 Number of places (if applicable): Under 65 Over 65 12 12 dementia old age, not falling within any other category Conditions of registration: 1 0 If the names service user ceases to be accomodated at the home then the variation to the category shall cease. The home may accommodate one named service user under the age of 65 with Dementia. The manager must inform CSCI if the service user permanently leaves the home for any reason. Date of last inspection Brief description of the care home Littledene House is a care home providing personal care and accommodation for twelve elderly people who may also have a dementia. Littledene is privately owned and the proprietor also manages the home.
Care Homes for Older People Page 2 of 9 1 7 1 1 2 0 0 8 Brief description of the care home The property is a large detached house, which has been converted to provide single room accommodation. Six of the bedrooms have en-suite toilets. The house is well presented and provides residents with comfortable surroundings in a homely atmosphere. There is a passenger lift for easy access to the upper floor and an enclosed garden to the rear. The frontage of the property is attractively paved and allows for the parking of several cars. A single storey extension at the back of the house provides living accommodation for three members of the care staff. Littledene is situated in a quiet residential road in the village of Bushey and is approximately two miles from the village High Street and also about two miles from the extensive amenities of Watford Town. There are local shops a short walk away. There are nearby bus and rail services and the home is close to several major roads and motorways. Current charges for the home range from £500.00 to £580.00 per week. Further information can be found in the homes Statement of Purpose and the Service Users Guide, which are displayed in the entrance hall. The home also has an internet web site. Care Homes for Older People Page 3 of 9 What we found:
Since the last key inspection on 17th november 2008 two more random inspection visits have been made to the home. The first took place on on 8th April and was completed on 30th April and the second took place on 5th May 2009. This inspection took place over two separate days. The first visit was on 30th May 2009 and was made to check compliance with requirements which had been made at previous inspections that two care workers must be on duty at the home at night and that all staff are properly recruited. A Statutory Requirement Notice was served on the proprietor on 1st June that all staff recruitment regulations must be complied with. The second visit was made on 28th June to check compliance with this Notice. The inspection on 30th May started at 11.00 am, with two regulation inspectors carrying out the work of the Commission. The manager was not present at the start but arrived in the home during the inspection. The inspection on Sunday 28th June started at 7.30am, with one regulation inspector. The manager was on duty throughout. For the purposes of this report the Commission will be referred to as we. Additional outstanding requirements were not checkd on this occasion and have been carried forward in this report. What the care home does well: What they could do better:
On 30th May we checked the record of a care worker whose name was on the staff roster but no shifts had been allocated to them. The manager said that this member of staff had not started work yet as their POVA and CRB clearance had not been received. However, another care worker stated that this individual was at the home helping the manager with paper work but did not work on their own. We noted that the proposed employees application form did not list all previous work in care settings although there was
Care Homes for Older People Page 4 of 9 evidence seen that such work had and was taking place. We advised the manager that this omission must be rectified and that a current home address and evidence of permission to work in the country must also be obtained. It was a concern that the manager needed to be reminded of this requirement. However on 28th June we saw evidence that a full employment history had been provided for this individual and that two appropriate references were in place together with a clearance from the POVA register. We reminded the manager that CRB clearance was still necessary and that a current home address and evidence of permission to work in the country were still needed. This employee was one of the members of staff on night duty with the manager when we arrived at the home. During the inspection on 28th June we saw a domestic worker with a bucket and wearing rubber gloves working in the home. The manager provided their name and confirmed that this was the same domestic worker who had been employed at the home at the time of the last key inspection. At that time the manager had confirmed that this person had not been appropriately checked and had no recruitment records and said that they would leave the homes empoyment. The manager confirmed that there were still no recruitment records or checks for this person and that they would now be told not to work at the home. Everyone working at the home in any capacity has access to the vulnerable people living there and must be properly recruited to ensure that all residents are protected from possible abuse. The manager has not complied with the Statutory Requirement Notice issued on 1st June that all members of staff must be appropriately recruited. The Commission will consider whether any further action will now be taken. 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 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 7 15 All residents in the home must have a written plan which details all their needs and shows how these needs are to be met in a Person Centred way. The timescale for this requirement was not met. A new timescale has been made. This is so that all residents are supported by staff in a way that reflects their personal wishes and goals. 01/10/2009 2 7 15 The care for each resident must be regularly reviewed and documented in detail in their care plan. The timescale for this requirement was not met. A new timescale has been made. This is to ensure that all staff are aware of the current needs of the resident and aware of how these needs are to be met. 01/10/2009 3 18 13 All staff at the home must complete up to date training in Adult Safeguarding and 18/09/2009 Care Homes for Older People 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 Whistle Blowing and must demonstrate their understanding of these topic. The timescale for this requirement was not met. A new trimescale has been made. This is to ensure that people living at the home will be protected from harm and abuse. 4 31 13 The manager must ensure that appropriate written policies and procedures are in place and that these are reviewed and kept up to date. The timescale for this requirement was not met. A new timescale has been made. This is so that staff especially are aware of procedures to be followed for the benefit of all parties in the home, and to ensure the safety of residents. 01/10/2009 Care Homes for Older People 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 Care Homes for Older People 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 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 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!
