Random inspection report
Care homes for older people
Name: Address: Mandeville Grange 201-203 Wendover Road Aylesbury Buckinghamshire HP21 9PB zero star poor service 23/10/2009 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: Joan Browne Date: 0 4 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Mandeville Grange 201-203 Wendover Road Aylesbury Buckinghamshire HP21 9PB 01296435320 01296397509 mcsmand@googlemail.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) : Mandeville Care Services Limited care home 31 Number of places (if applicable): Under 65 Over 65 31 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 31. The registered person may provide the following category/ies of service only: Care home with nursing - (N) 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 Mandeville Grange Nursing Home is situated on the outskirts of Aylesbury Town, which provides a variety of shops and other local amenities. The home provides nursing care for up to thirty-one service users, who are accommodated on two floors of the building. All floors are accessible by stairs, a passenger lift or stair-lift. Registered nurses and carers staff the home. 2 3 1 0 2 0 0 9 Care Homes for Older People Page 2 of 7 What we found:
The reason for this random inspection was to ensure that the service had complied with the Statutory Requirement Notice that was issued following the key unannounced inspection at the home on 23 October 2009. It was found that the home had failed to comply with the Care Homes Regulations 2001 and was in breach of Regulation 15(1)(2)(b)(c) service users plan. The outcome is as follows: The Statutory Requirement Notice that was issued to ensure that service users have a written care plan detailing how needs in respect of his/her health and welfare are to be met and it is kept under review in consultation with the service user or his/her representative has been met. The care for five service users was followed through. Three of the service users were recently admitted to the home and the remaining two had been living at the home for some time. All had care plans which had been updated regularly. For those service users who were recently admitted to the home evidence seen verified that the plan was reviewed after one month of admission. The service user and his/her family member were involved in the care plan review and had signed to confirm their involvement and agreement with the plan. The plans contained detailed information to guide staff on how individuals diverse healthcare needs should be met. Potential and actual risks to service users health and welfare were identified and supported with a plan detailing how these risks would be managed. It was noted that three service users were at risk of being malnourished and their food intake was being monitored and arrangements were being made for them to be referred to the dietician. One service user had put on weight since being admitted. Two service users were being cared for in bed and the turning charts were appropriately maintained. An anomaly was noted on a fluid balance chart for one individual and this was discussed with the manager who made a note for it to be put right. Since the key inspection the manager said he had put systems in place to improve the homes admissions procedure. For example, all prospective service users are assessed by a senior member of staff prior to admission using the admission assessment form which was recently reviewed and informs the care plan. The prospective service user is not admitted until the manager and senior members of staff are confident that the home can meet the identified assessed needs and any appropriate equipment that maybe required is in place. Assessment and admission should not occur on the same day but after a period of at least twenty-four hours except in exceptional circumstances. This was the case for one service user who was admitted on the same day the assessment had taken place. Within five days of admission service users are expected to have a comprehensive care plan which is reviewed one month after admission with the individual and their relative and the outcome of the review is documented. The manager said that a system had been put in place to ensure that service users care plans are reviewed with family members at least six monthly. He confirmed that to date eight care plans had been reviewed with family members. We saw evidence of the manager and staff reviewing service users identified needs as and when changes had been identified or at least monthly. What the care home does well:
Care Homes for Older People Page 3 of 7 The home now ensures that all service users have a care plan to support all aspects of their health and personal care needs and any potential and actual risks are clearly documented in the care plan. A system has been put in place to ensure that care plans are kept under regular review and any changes to service users identified needs are documented in the care plan. 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 4 of 7 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 It is required that 15/12/2009 arrangements are made for the safe administration and recording of medicines in the home. This is to ensure that service users health and safety are protected. Care Homes for Older People Page 5 of 7 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 6 of 7 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 7 of 7 - 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!
