Inspection on 26/02/08 for Meadowyrthe

This inspection was carried out on 26th February 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Meadowyrthe 06/11/07

Meadowyrthe 30/10/06

Meadowyrthe 20/12/05

Meadowyrthe 05/07/05

Meadowyrthe 15/12/04

Meadowyrthe 05/07/04

Meadowyrthe 04/02/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Inspecting for better lives Random inspection report Care homes for older people Name: Address: Meadowyrthe Comberford Road Tamworth Staffordshire B79 8PD 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Dawn Evans Date: 2 6 0 3 2 0 0 9 Information about the care home Name of care home: Address: Meadowyrthe Comberford Road Tamworth Staffordshire B79 8PD 0182766606 0182756923 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Staffordshire County Council, Social Care and Health Directorate Name of registered manager (if applicable) Mr Leon Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Age: Dementia (DE) age 50 and above. The maximum number of service users who can be accommodated is: 44 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: Mental disorder, Care Homes for Older People Page 2 of 8 care home 44 Over 65 0 0 44 0 44 44 0 44 excluding learning disability or dementia (MD) 44 Dementia (DE) 44 Physical disability (PD) 44 Old age, not falling within any other category (OP) 44 Date of last inspection Brief description of the care home This service was last inspected on 06 November 2007. Meadowrythe House provides a service for older people who have mental health needs including dementia and also for those who have a physical disability. The home is nearby to local amenities, including a pub and shops. The local bus stop is within walking distance, making easy access to the local town. All bedrooms are single and are located on both the ground and first floor. Twelve bedrooms are fitted with an en suite, bathrooms and toilets are near to bedrooms and communal areas. The home also consists of adequate communal areas such as lounges, dining room, kitchen and laundry. People also have access to a well maintained garden. Ample off road car parking is also available. Equipment and adaptations are in place to support peoples independence and safety these included a passenger lift, hoist, assisted baths and nurse call alarms. Staffing is provided on a 24 hour basis ensuring people have the necessary support when required. People have access to previous inspection reports enabling them to find out about the quality of service provided and peoples experiences of living there. The fees charged for the service was not made available, the reader is advised to contact the home directly for this information. Care Homes for Older People Page 3 of 8 What we found: The focus of the inspection undertaken by the Commission is based upon outcomes for people who use the service. The inspection process looks at the services capacity to meet regulatory requirements, national minimum standards and aspects where the service requires further development. We carried out two separate unannounced random inspections on the 26 February 2009 and 26 March 2009. This means they did not know we were coming to visit the home. The reason for these visits were to look at concerns and complaints brought to our attention about poor heating provided in the respite unit that consisted of 12 bedrooms. We looked at the impact this was having on people who accessed this service. We all so looked at some practices that may compromise peoples health and safety. Three staff members said the home has always experienced problems with the heating within the respite unit. We looked in four bedrooms within this unit, all were cold. One person who lived there said, It wasnt all that warm last night but its something you have to put up with. Portable heaters and additional blankets were provided. We looked at four care records, three contained a risk assessment for the safe use of these portable heaters. Two staff members told us there was no risk assessment in place for the other person. The absence of a written risk assessment to tell staff how to use these heaters safely to reduce the risk of fire, may place people at risk of harm. Bedrooms did not have a thermometer to monitor the air temperature to ensure peoples health and comfort. We heard a person who lived at the home tell a staff member they had just had a cigarette in their en suite. Two staff members said they were not aware that this person smoked. We looked at their care plan, which showed they did smoke. Staff told us there was no risk assessment in place to ensure this persons safety whilst smoking. This could place this person and others at risk of harm. This person had recently been admitted to the home and told us they did not know it was unsafe to smoke in their room. We saw one person with a nurse call pendant around their neck secured by a wire. We looked at this persons care record, there was no evidence of a risk assessment to ensure this equipment was safe to be placed around their neck. Two staff members told us there was no risk assessment in place for the safe use of this pendant. We issued five immediate requirements. This is where the service have a legal obligation to comply with regulatory requirements immediately to ensure peoples safety. The following requirements were issued: Care Homes for Older People Page 4 of 8 A written risk assessment must be in place for the safe use of portable heaters so peoples health and safety can be assured. That a written risk assessment must be in place for the person who smoked, so staff know how to ensure this persons safety and reduce the risk of a fire in the home. That appropriate heating is provided in all parts of the home accessible to people so their comfort and health can be assured. To ensure bedrooms are fitted with a thermometer to monitor the air temperature so peoples wellbeing can be assured. That a written risk assessment is in place to ensure the safe use of the nurse call pendant secured around the persons neck. On the random inspection visit carried out on 26 March 2009, we saw all five immediate requirements had been addressed. We saw appropriate heating provided in bedrooms so peoples comfort and safety can be assured. We saw a thermometer in each bedroom to monitor the air temperature. Records were now maintained of room temperatures and these were between 20 and 25 degrees. One person said, My room is warm enough. People can now be confident their bedroom will be warm to ensure their health and wellbeing. A risk assessment was now in place for the person who smoked so this person and others can be assured staff will know to reduce the risk of fire and ensure their safety. The manager said the nurse call alarm pendant, which was secured around a persons neck by wire was no longer in use. All bedrooms were now fitted with a suitable nurse call alarm so they can call for assistance when needed. The manager told us that portable heaters were no longer in use but should they be needed, a written risk assessment will be put in place to ensure peoples safety. 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 8 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 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 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 CSCI 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. 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