Random inspection report
Care homes for adults (18-65 years)
Name: Address: Melbourne House Chapel Road Foxhole St Austell Cornwall PL26 7UG two star good service 20/07/2009 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: Michael Dennis Date: 1 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Melbourne House Chapel Road Foxhole St Austell Cornwall PL26 7UG 01726823853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Rosemary Brewer Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Janet Rosemary Brewer care home 12 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 12 Service users to include up to 12 adults with a learning disability (LD) Total number of service users not to exceed a maximum of 12 Date of last inspection Brief description of the care home Melbourne House is a detached property currently registered to provide care and accommodation for up to 12 people with a learning disability. There are currently nine residents in the home, most of whom have lived there for many years. Three residents have moved to the home within the past two years. Accommodation is provided on the ground and first floor, which are linked by a
Care Homes for Adults (18-65 years) Page 2 of 8 2 0 0 7 2 0 0 9 Brief description of the care home staircase. There are communal areas on the ground floor - a sitting room, dining room and small sun lounge. Externally there are two small patios, , a greenhouse and at the top of the garden a long building. In the past this has been used as a workshop where people went during the day. It is not currently fit for use. The premises are not suitable for any one with mobility problems as there are steps throughout, both inside and out. The external access would be very difficult to ramp with the correct gradient. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This Random Inspection was conducted on the 17th.May 2010 with two inspectors. We first arrived at Melbourne House at 10am but found no one in as all residents were attending activities. Two were at college, two at a drop in centre and one out with the staff member. The sixth resident is currently in hospital. We returned to the home at 1pm shortly after the residents returned and remained for the next three hours. We observed the staff member making a snack lunch consisting of sandwiches and toast. Residents were asked what they would like and this was accommodated. We took the opportunity to inspect the food stocks held. We found all items to be in date and appropriately stored in fidges and freezers. The substantial evening meal was indicated on the menu sheet. We observed this meal being prepared later in the afternoon. We toured the premises and found them to be generally clean with no offensive odours present. Some bedrooms were a little untidy with carpets in need of a vacume. They displayed the individualty of the occupant. One of the newer rooms has natural dome light tubes situated in the ceiling to let in more light. There are no shades fixed and we were concerned that early morning sunshine could detract from normal sleeping patterns. The day was fine with reasonable temperatures outside. The heating was off and we noted some bedrooms were quite cold. Specifically one room, currently not in use, showed signs of damp and the adjacent room was cold. Rooms should be kept at a reasonable temperature throughout the day and night so that residents can visit their rooms at any time and be comfortable in them. The communal areas were suitably heated. The residents dining room is also used as a work station which is not entirely satisfactory. We observed various confidential records left on display which is in breach of Data Protection. All records should be kept under lock when not in use. We looked at the staff rota and determined that there is one waking night staff member. On the day of inspection two staff were on duty first thing in the morning followed by one until 2pm when the ratio increased to two. We have determined that resident choice is reasonable but this can be seriously impaired when only one staff member is on duty. If that member of staff needs to leave the home, residents must accompany them thus negating choice. In talking to the two staff on duty we conclude that they have received a reasonable level of training since in employment at Melbourne house. We case tracked five residents by talking to them and inspecting the care plans. We found that new care plans were put in place in April of this year, They are now due for the monthly review. We found that they broadly contained the required information to direct care and included planned activities and identified risks. The risk element of these plans should be re visited to state how the risks are to be managed. In one instance a risk was identified to say the person was at risk from slips and falls. In another section it stated that the person was able to go out independently and was safe to cross roads. This represents contradictory statements. We also noted that the care plans are all kept in general folders separated by card. Again this is construed as being in breech of Data Protection, therfore, each care plan should be kept in its own sepate file. We commenced looking at records pertaining to residents finances. Staff were most helpful in trying to answer some of our qustions. They did not have the knowledge to fully
Care Homes for Adults (18-65 years) Page 4 of 8 explain all of our queries and therfore we will re visit this area at a later date. We would like to thank the staff and residents for facilitating this inspection. 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 Adults (18-65 years) 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 Adults (18-65 years) 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 1 41 17 All personal resident records must be securely kept in accordance with the Data Prorection Act To preserve confidentiality 01/06/2010 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 1 2 9 24 Risk assessments should include, How to manage that risk Residents bedrooms are kept at reasonable temperatures at all times. Given that all residents are over 65 , this should be approximately 70 degrees. Consider restricting early morning daylight from entering one room via the twe ceiling light tubes. Strongly recommend that two staff be on duty throughout waking hours Care Plans should be kept individually in a separate file for each resident to preserve confidentuality. 3 4 5 24 33 41 Care Homes for Adults (18-65 years) Page 7 of 8 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 Adults (18-65 years) 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
