Random inspection report
Care homes for older people
Name: Address: Mandalay Residential Home 10 Julian Road Folkestone Kent CT19 5HB one star adequate service 15/04/2009 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: Penny McMullan Date: 0 5 0 8 2 0 0 9 Information about the care home
Name of care home: Address: Mandalay Residential Home 10 Julian Road Folkestone Kent CT19 5HB 01303258095 F/P01303258095 mandalayresidential@hotmail.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Stargate Partnership Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 40. The registered person may provide the following category/ies of service only: Care home only - (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). Date of last inspection Brief description of the care home Mandalay is registered to provide residential care to 40 older people. The home has recently been extended and the whole of the premises has been refurbished and redecorated. All bedrooms are single and have en-suite facilities. Communal space consists of a dining room and lounge and there are plans to build a conservatory in the
Care Homes for Older People Page 2 of 9 1 5 0 4 2 0 0 9 Brief description of the care home future. Accommodation is over 3 floors and there are 2 shaft lifts. There are local shops and the main bus route into Folkestone runs close to the home. The statement of purpose gives information about the service. A copy can be obtained from the home. The most recent inspection report can be seen in the home. Currently the scale of fees is between £320.13 and £437.50. Hairdressing, chiropody, transport, papers, toiletries and holidays are at an additional charge. A copy of the latest inspection report is available at the service office or can be downloaded from www.cqc.org.uk Care Homes for Older People Page 3 of 9 What we found:
The reason for this inspection was to check compliance with the statutory requirements made at the previous inspection on 15th April 2009. Seven requirements were made with various timescales for the home to take action. This report details the information as to how the home has improved and met those requirements. This unannounced random inspection was carried out on 5th August 2009 between 9am and 12.15pm. The Manager assisted throughout the inspection. The Manager is in the process of applying to the Commission to be considered for the position of Registered Manager. She has now been in post four months and is aware of what needs to be improved in the home. Two care plans and two staff files were seen, together with training records and information that the organisation has made monthly visits to the home in line with our regulations. These visits make sure the Registered Provider is aware of what is happening in the home. Medication storage was also looked at to make sure that the home is administering medication safely. New care plans have been completed for six of the people living in the home. The format covers all aspects of care and the information and detail has improved. However, in some cases the word assistance is used to describe the task to be completed. Further detail as to what this means to the individual is required to make sure staff are fully aware of how to meet the needs of the person. The plans do identify what the person can do for themselves in order that they are supported to maintain their independence. They also include details of how to promote peoples dignity by explaining how staff need to support and reassure the people to live their daily life. Preferences, such as, when people wish to go to bed and get up are included in the plans. The plans are reviwed monthly and the people or their relatives have signed the plan to say they agree with the care to be provided. Moving and handling risk assessments are in place, however, further improvements in the detail is also required to make sure people are moved safely. For example, one assessments states mobility is good but she does become unsteady on her feet, therefore staff are instructed to use handling belt, but it does clarify what instruction of how to use the belt. Clear written guidelines inform staff how to carry out the required moves in a safe manner. The Manager told us that all of the people in the home should have the new format of care plan in place by the end of September. To make sure that this is achieved, a new senior member of staff will be trained to assist with the process. We are confident that the Manager is working hard to implement the care plans and will address the issues raised; therefore no further requirement or recommendation will be made at this time. The Manager has reviewed the way in which the home administers the medication. A thorough audit was carried out and as a result the storage of the medication has been rearranged. An additional medication cabinet and trolley is being purchased to enable two members of staff to complete the medication round. This will make sure that the people living in the home receive their medication at the right time. The records and medication
Care Homes for Older People Page 4 of 9 is checked daily, weekly and audited by the management staff on a monthly basis. The Manager told us that all of the medication has been checked to identify if cold storage is required. A spot check on the medication trolley was carried out and storage was found to be in good order. Senior staff administers the medication and they have all received medication training. A third of the staff have received safeguarding training. There is evidence that additional training was arranged but due to unforeseen circumstances it was cancelled. This has now been booked to take place on the 18th August for all staff, with a further session on 28th September, should it be required. Two staff files were seen who had recently been recruited. Records show that a full employment history is in place. There are also procedures in place to make sure that staff have been thoroughly checked and are safe to provide care to the people living in the home. Since the previous inspection, several training courses have been provided. In the last three months staff have attended Infection Control Training, Moving and Handling, Medication, Dementia Awareness, Diabetes and Health and Safety Training. Mental Capacity Act Training is scheduled to take place on 1st September 2009. Eight members of staff have completed a distance learning course level 2 in Dementia Care. Updates in moving and handling have been booked for September and October 2009. Seven senior members of staff have received First Aid at Work training to make sure that they are competent to provide first aid if required. The staff rota is compiled to make sure that an appointed person is on duty at all times. The Manager told us that all of the staff in the home have NVQ 2 or above or are currently completing the award. This includes the kitchen and domestic staff. Although a considerable amount of training has been provided in the last three months the training records are not up to date. It is evident that the home is updating their training; however, a formal training programme is not in place. The current training records do not give a clear and accurate record of the training provided and booked. The Manager told us that a training matrix will be implemented and the record would be updated to reflect the training provided. Records of the monthly visits made by the Area Manager to the home were seen for the last three months. The records contained details of what had been looked at in the home. The Manager told us that she had also met with the Area Manager to discuss the progress of the improvements being made in the home. What the care home does well:
All of the seven requirements made at the previous inspection on 15th April 2009 have been met within the timescales. All of the staff in the home have or are completing NVQ Level 2 or above. Care Homes for Older People Page 5 of 9 The people living in the home comment: Thank you for such a lovely party on Saturday, my thanks for all your hard work on our behalf. Just to say thank you for all the care you have given Mrs X you are so very special. 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 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R 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 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!
