Random inspection report
Care homes for older people
Name: Address: Madeleine House 60 Manor Road Stechford Birmingham West Midlands B33 8EJ two star good service 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: Sue Scully Date: 1 9 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Madeleine House 60 Manor Road Stechford Birmingham West Midlands B33 8EJ 01217861479 01217850621 Telephone number: Fax number: Email address: Provider web address: www.anchor.org.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Anchor Trust care home 41 Number of places (if applicable): Under 65 Over 65 0 41 41 dementia old age, not falling within any other category physical disability Conditions of registration: 10 0 0 The maximum number of service users who can be accommodated is: 41 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 41 Physical disability - over 65 years of age (PD(E)) 41 Dementia (DE) 10 Date of last inspection Brief description of the care home Madeleine House is registered to provide residential care for up to 41 residents who are over 65 years of age and require assistance for reason of old age and physical
Care Homes for Older People Page 2 of 11 2 4 0 6 2 0 0 9 Brief description of the care home disability. This includes ten residents who can be accommodated for reasons of dementia care. The Home is owned and managed by Anchor Trust. It is a modern two storey building set back off the road in its own grounds with adequate off road parking to the front of the building. It is well maintained internally and externally and is run as one unit. Care Homes for Older People Page 3 of 11 What we found:
The reason for this inspection was to monitor compliance with statutory requirements made at the key inspection on 27th August 2009. We found that some progress had been made, but records pertaining to peoples health and welfare were not being maintained to ensure they were fully protected from harm. We looked at records relating to doctors visits, care plans, accident records, alert sheets and a handover sheet that had recently been introduced. Records did not demonstrate that action had been taken where issues had been identified. For example accident records while they were better overall there were few records to say any follow up action had been taken. One example being a person had slipped of the commode and sustained a skin tear to the back, there was no mention of any medical treatment being sought or given. The service had introduced a hand over sheet that enables the team leaders to identify any concerns with people living in the home. This is then passed to the next team leader who comes on duty to action any outstanding concerns. We looked at these records from the date they had been introduced. There were seven entries that told us seven people were complaining of lower back pain. We looked at associated records such as the alert sheets, doctors records, and the communication book. We found no entries to say what action had been taken. Another person had complained about chest pains on several occasions throughout the day, again we looked at associated records, but found no evidence of what action had been taken. We looked at records that showed us some people had lost or was losing a significant amount of weight. The records did not show us how these people had been monitored and in one incident on 25th July 2009 a dietitian had requested that the person be weighed weekly. The home was to contact the dietitian again if the person continued to lose wight. Record showed us that the weight loss had continued and we could find no evidence to indicate the home had contacted the dietitian again. The persons care plan had been reviewed by the home again on 24th September 2009, which also indicated that the person was to be weighed weekly. The last recorded entry on this persons weight chart showed us the last time the person was weighed was on 2nd October 2009. The care plan also said that food intake charts and fluid charts were to be maintained. We looked at the fluid and food charts for this person and these were not always filled in, which in some instance could have indicated that the person had had no food or drink for a considerable amount of time throughout the day. The care plan for another person said that they were to have food supplement drinks, when we looked at associated records such as the Medication Administration Record (MAR) this told us the prescription had not been ordered and there were no signatures on the (Mar chart ) to indicate the person had been given the food supplements previously. The acting manager told us that 10 care plans had been reviewed, we found no evidence to suggest that this had been in consultation with the person living in the home or that any relatives were involved. We acknowledge that there has been a considerable amount of training that has taken
Care Homes for Older People Page 4 of 11 place in that team leaders have received training in the safe administration of medication and are to go on to complete accredited training. The care staff have received training in dementia care, moving and handling and communication. However, records do not demonstrate that this has been put into practice. Therefore we remain concerned about the health and welfare of the people living in the home and have invited the Responsible Individual to attend a meeting with us to discuss the future management of improvements needed to ensure people living in the home are fully protected. 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 Older People Page 5 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 3 14 The service must ensure detailed information is collated about peoples dementia and challenging behaviour so they can meet the persons needs. Not assessed atthis inspection 19/10/09 This will mean that clear management plans are put in place to care for people safely. 25/09/2009 2 7 15 Care plans must be generated from a comprehensive assessment detailing the actions staff need to take to ensure that all aspects of peoples needs are being met. Not assessed at this inspection 19/10/09 This will ensure staff have the information to monitor and review peoples changing needs. 25/09/2009 3 8 13 Peoples health and welfare 25/09/2009 must be monitored that includes peoples weight, specialist medical treatment, and any other instructions by
Page 6 of 11 Care Homes for Older People 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 other health professionals deemed to ensure people stay healthy. This will ensure peoples current needs are know and will be met. 4 15 16 People must have a choice of 25/09/2009 meals available to them at all times in particular people who do not have their meals in the communal areas. This will ensure their dietary needs are met. 5 16 22 All complaints must be logged and thoroughly investigated. Not assessed at this inspection 19/10/09 This will ensure peoples views are listened to and actions taken to address their concerns. 6 27 18 An assessment of peoples 25/09/2009 dependency on assistance or supervision must be undertaken to be sure there is enough staff to meet peoples needs and wishes taking into consideration the size and layout of the building. Not assessed at this inspection 19/10/09 This will ensure people receive assistance and
Care Homes for Older People Page 7 of 11 25/09/2009 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 supervision when they need and wish. 7 30 18 Training undertaken by staff 25/09/2009 must be monitored to ensure what staff have understood is put into practice. Not assessed at this inspection 19/10/09 This will ensure staff professional development and mean safe working practices at all times. 8 31 8 An application must be submitted to the Care Quality Commission for the position of registered manager. Not assessed at this inspection 19/10/09 This will ensure the day-today management of the home is undertaken in the best interest of the people who live there. 9 33 24 An effective quality 25/09/2009 assurance system that is robust and identifies where there are failures in the service provision must be set up. Not assessed at this inspection 19/10/09 This will ensure action is taken quickly to address issues of concern.
Care Homes for Older People Page 8 of 11 25/09/2009 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 8 16 The home must follow the 10/12/2009 instructions from other health care professionals in the event of people requiring additional support with their dietary needs. This must be reviewed and additional support sought if required. Records must also demonstrate that food intake and fluid intake is monitored appropriately. This will ensure other health care professionals are involved when required. 2 8 17 Schedule 3 10/12/2009 The service must ensure adequate records are maintained in respects of how peoples needs are being met and their health and welfare protected. This will ensure peoples needs are reviewed, and monitored as they change. 3 8 12 The service must ensure 10/11/2010
Page 9 of 11 Care Homes for Older People 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 proper provision for the health and welfare of people living in the home and appropriate treatment is sought when concerns have been identified. This will ensure people receive treatment without delay. 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 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 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 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!
