Random inspection report
Care homes for older people
Name: Address: Monks Haven Residential Home 55-57 Beverley Terrace Cullercoats Tyne & Wear NE30 4NX one star adequate service 04/06/2009 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: Elizabeth Gaffney Date: 1 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Monks Haven Residential Home 55-57 Beverley Terrace Cullercoats Tyne & Wear NE30 4NX 01912521957 Telephone number: Fax number: Email address: Provider web address: geoshineltd@aol.com www.monkshaven.co.uk Name of registered provider(s): Name of registered manager (if applicable) Geoshine Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 33 Number of places (if applicable): Under 65 Over 65 10 23 dementia old age, not falling within any other category Conditions of registration: 0 0 The Home may admit up to one person, 55 years of age and above within the SI category of registration, (not exceeding total number of places registered) Date of last inspection Brief description of the care home Monks Haven is situated on the sea front at Cullercoats and is a large, older style adapted building. The Metro and other transport links are close by. The home provides residential care for up to 33 older people, of whom up to 10 may have dementia care needs. Nursing care is not provided. Bedroom accommodation is spread over three main and two mezzanine floors. There are 27 single bedrooms of which three have enCare Homes for Older People Page 2 of 9 0 4 0 6 2 0 0 9 Brief description of the care home suite facilities. There are also three double bedrooms. There is a passenger lift to the three main floors and a stair lift has been installed between the top floor and the second mezzanine floor. Access to some bedrooms, bathrooms, and toilets is via a small number of steps. The following communal facilities are also provided: two lounges and a dining room; two bathrooms and one shower room; nine toilets; a kitchen, small conservatory and adjoining utility rooms. The home has a small, attractive paved area to the front and a yard area to the rear of the building. Street parking is available to the front and rear of the home. Copies of Commission inspection reports are available from the home on request. The current scale of charges is 374 pounds to 424 pounds. Information about fee charges is included in the homes service user guide and statement of purpose. Additional charges are made for hairdressing, chiropody, newspapers, and taxis. Care Homes for Older People Page 3 of 9 What we found:
An unannounced visit was made on 04 December 2009. We carried out this inspection to check whether the registered manager has complied with a warning letter issued by the Care Quality Commission (CQC) on 17 July 2009. The warning letter was issued following a key inspection carried out on 04 June 2009. The warning letter stipulated that the registered manager must ensure that the required pre-employment checks are carried out for all new staff starting work at the home. The registered manager was also asked to make sure that the required legal notifications are made under Regulation 37 of the Care Homes Regulations (2001). The CQC has previously expressed concerns about the registered managers failure to carry out relevant pre-employment checks and make the required legal notifications. Before the visit, we looked at relevant information we have received since the last key inspection visit on 04 June 2009, including improvement plans submitted by the registered manager. We looked at any changes to how the home is run and examined the employment records of the newly appointed acting manager. We took copies of relevant information. We also spoke with both the registered manager and the acting manager. The registered manager was asked to make sure that they obtain two written references and a full employment history, including reasons for any gaps, for all staff employed at the home. An audit of the acting managers application form showed that they had only supplied employment history details covering the previous 10 years. The acting manager later confirmed that a recent period of employment had not been included on their application form. However, they said that they had verbally provided the registered manager with details of their last period of employment. The registered manager failed to obtain a full written employment history from the member of staff they appointed to be the acting manager. The registered manager had not recorded the conversation that they had had with the acting manager as part of the recruitment process. Also, the registered manager did not obtain a written reference from the acting managers most recent employer. Failure to obtain appropriate references and a full employment history could result in unsuitable staff being employed at the home. This has the potential to place people using the service at risk. The registered manager has not complied fully with this part of the warning letter. Legal advice will now be sought as to whether further enforcement action needs to take place. The registered manager was asked to ensure that documentary evidence of any relevant qualifications and a Criminal Records Certificate are obtained for all staff. The registered manager has complied fully with these requirements. The registered manager was asked to make sure that appropriate notifications are made under Regulation 37 of the Care Homes Regulations 2001. The registered manager has complied fully with this requirement. What the care home does well:
Personnel records contain documentary evidence of the training completed by staff as well as evidence that a Criminal Records Certificate has been obtained for each member
Care Homes for Older People Page 4 of 9 of staff. 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 9 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 2 5A Ensure that the homes statement of terms and conditions specifies who is responsible for paying the fee and how any fee increases will be handled. This will help to ensure that prospective service users have a clear idea of what they can expect once they move into the home. 03/08/2009 2 18 13 Ensure that potential safeguarding concerns are notified to the Commission and the local safeguarding team without delay. This will help people using the service to feel confident that the home is prepared to take all necessary action to keep them safe and free from harm. 01/07/2009 3 28 17 Ensure that staff files contain: a full employment history; a contract of employment that relates to Monks Haven; all of the information required by Schedule 4. This will help to ensure that only suitable staff are 01/04/2009 Care Homes for Older People Page 6 of 9 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 employed within the home. 4 29 7 Ensure that the following 20/07/2009 information is obtained for all staff: -Documentary evidence of relevant qualifications and training; -Proof of identity and a recent photograph. This will help to ensure that only suitable staff are employed at the home. 5 29 7 Ensure that the following 12/06/2009 information is obtained for all staff employed by the home: -An enhanced Criminal Records Bureau (CRB)disclosure certificate; -Two written references; -A full employment history, together with a satisfactory written explanation of any gaps in employment. This will help to ensure that only suitable staff are employed at the home. 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!
